摘要
通过研究79例小于60岁和79例大于60岁胆囊结石患者腹腔镜胆囊切除术(LC)血气分析和23例高碳酸血症。结果发现两组年龄气腹后PH值显著低于入院后和手术后(P<0.05),同时伴随PaCO_2升高,HCO_3^-减少,SBC减少,ABE、SBE负值增加。高碳酸血症23例,平均PaCO_2极显著高于两组年龄各组(P<0.01)。讨论了LC围手术期血气监测的意义和标准以及LC高碳酸血症发生原因及处理。
Analysis of gas-blood of 79 patients with gallbladder stones who received laparoscopic cholecystectomy was conducted than 60 years and 79 patients at larger than 60 years and hypercarbia has been studied in 23 cases. The previous one was subgrouped admited hospital (group A), pro-pneumoperitoneum (group B), post pneumoperitoneum (group C) and post-operated (group D), and the behind one was subgrouped admited hospital (group A_1), propneumoperitoneum (group B_1), post pneumoperitoneum (group C_1) and post-operated (group D_1) in ordering to study aims. The results shown that value of pH was obviously lower in group B,group C and group B_1,group C_1 than that in group A,group D and group A_1, group D_1, resperctively and PaCO_2 elevated, HCO_3 and SBC decreased, negative value of ABE inevased accompanayiny in group B, group C, group B_1 and group C_1. Compared with the prevoius indexes between group B, group C, group B_1 group C_1 and group A, group D, group A_1, group D_1 were very remarkedly different (P<0.01). It was derived from subcutenous emphysema to 13 patients hypercarbia, amony 23 cases hypercarbia, which average value of pH was significantly lower in patients of hyper carbia than that in group A, group D, group A, and group D_1(P<0.05),and average PaCO_2 was very obviusly higher ones of hypercarbia than that in anyone at two groups ages (P<0.01). Significant and standard of gas-blood measuring, causes and treatments of hyperearbia were discussed in laparoscopic cholecystectomy.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
1997年第1期24-25,共2页
Chinese Journal of Experimental Surgery
关键词
腹腔镜胆囊切除
血气监测
高碳酸血症
laparoscopic cholecystectomy gas-blood measuring hypercarbia
