摘要
目的:探讨后腹膜腔镜手术对全身麻醉患者血流动力学、呼吸及动脉血气的影响。方法:选择了128例(ASAⅠ～Ⅱ)后腹膜腔镜下泌尿外科手术的患者,监测气腹前及气腹后30min血压(Bp)、心率(HR)、心电图(ECG)、脉搏、氧饱和度(SpO2)及动脉血气、气道压力的变化。结果:气腹前、后患者的血流动力学及气道压力变化不明显(P>0.05),动脉血气发生显著改变,出现高碳酸血症(P<0.05)。结论:后腹膜腔镜手术CO2气腹对全身麻醉患者血流动力学、呼吸及血气产生一定的影响,术中应加强麻醉的管理及监测。
Objective： To investigate the influence of retroperitoneal laparoseopic surgery on hemodynamics respiratory and arterial blood gas in patients performed with general anesthesia. Methods： 128 cases of the （ASA Ⅰ～Ⅱ ） patients underwent retroperitoneal laparoseopic surgery with general anesthesia, monitoring prepneumoperitoneum and pneumoperitoneum after 30 rains of blood pressure （Bp）, heart rate （HR）, electrocardiogram （ECG）, pulse, oxygen saturation （SpO2） and arterial blood gas, airway pressure changes. Results： Retroperitoneal laparoscopic surgery was successful in all patients. Prepneumoperitoneum and after, the hemodynamic changes in patients were not obvious （P〉0.05）, airway pressure, arterial blood gas has significant change in hypercapnia （P 〈0.05） ; Conclusion： The CO2 pneumoperitoneum of retroperitoneal laparoseopic surgery with general anesthesia have a certain influence on hemodynamics, respiratory and blood gas, we need to sthengthen the management and monitoring of anesthesia inoperation.
出处
《新疆医科大学学报》
CAS
2009年第6期749-750,共2页
Journal of Xinjiang Medical University
关键词
后腹腔镜
泌尿外科手术
麻醉
retroperitoneal laparoscopy
urological surgery
anesthesia
