摘要
目的:观察喉罩通气下新生儿腹腔镜手术中,CO2气腹对呼吸循环系统功能的影响以及喉罩机械控制通气全身麻醉辅以骶管麻醉用于新生儿腹腔镜下幽门环切手术的安全可靠性。方法:102例腹腔镜幽门环肌切开术的新生儿均采用放置喉罩连接麻醉机控制通气下全身麻醉辅以骶管阻滞,术中潮气(VT)10～15ml/kg、呼吸频率(RR)28～32次/min,调整呼吸参数,以维持PETCO2在生理范围(32～36)并在注气前、气腹中、注气毕记录各时点的呼吸循环动力学指标。结果:气腹后与气腹前基础值相比,气腹后5min,SBP、DBP、HR、PETCO2差别明显(P<0.05),放气后5min各项指标基本恢复至气腹前水平。结论:新生儿气腹可引起呼吸循环功能的改变,插入喉罩机械控制通气全身麻醉辅以骶管麻醉用于新生儿腹腔镜下幽门环切手术是安全可靠的。
Objective：To observe the laryngeal mask airway in the newborn with laparoscopic surgery,CO2 pneumoperitoneum on respiratory function of the circulatory system and the control of laryngeal mask mechanical ventilation in general anesthesia supplemented by caudal anesthesia for neonatal circumcision laparoscopic pyloric surgery The safety and reliability.Methods：102 cases of laparoscopic pyloromyotomy neonatal surgery are connected by placing laryngeal mask anesthesia machine controlled ventilation general anesthesia combined with caudal block,intraoperative tidal（VT） 10 ～ 15ml/kg,respiratory rate（RR） 28 ～ 32 times / min,adjustment of respiratory parameters,in order to maintain（PetCO2） in the physiological range（32～36） and before gas injection,gas belly,complete records of each gas injection point of the respiratory and circulatory dynamics indicators.Results： gas After abdominal baseline values before pneumoperitoneum,pneumoperitoneum after 5min,SBP、DBP、 HR、PETCO2 significant difference（P0.05）,5min after the deflation of the index recovered to the level before pneumoperitoneum.Conclusion： Neonatal gas Abdomen can cause changes in respiratory and circulatory function,insert the laryngeal mask anesthesia combined with mechanical control of ventilation for neonatal caudal anesthesia circumcision laparoscopic pyloric surgery is safe and reliable.
出处
《安徽卫生职业技术学院学报》
2011年第3期22-23,共2页
Journal of Anhui Health Vocational & Technical College
关键词
喉罩
新生儿
全身麻醉
骶管麻醉
幽门环肌切开术
腹腔镜
Laryngeal mask
Newborn
general anesthesia
caudal anesthesia
pyloromyotomy surgery
laparoscopic
