摘要
目的 :观察腹腔镜妇科手术中CO2 气腹对呼气末二氧化碳分压 (PETCO2 )和气道压力 (Paw)的影响。方法 :总结 5 32例腹腔镜妇科手术的麻醉经验。结果 :CO2 气腹后 5、10minPETCO2 、Paw明显升高 ,气腹后15min达最高值 ,30min后逐渐开始下降 ,消气腹后接近气腹前水平。结论 :采用控制性定容呼吸 ,及时调整通气参数 ,增加呼吸频率 ,适当过度通气 。
Objective:To observe the effect on P ET CO 2 and Paw of CO 2 pneumoperitoneum in laparoscopic gynecologic operation.Methods:The anesthesia of the 532 cases with laparoscopic gynecologic operation were analyzed.Results:P ET CO 2 and Paw raised significantly at 5 and 10 minutes after pneumoperitoneum,and reached the highest level at 15 minutes after pneumoperitoneum;while they began to decrease at 30 minutes after pneumoperitoneum and approached to the level before pneumoperitoneum after dispneumoperitoneum.Conclusions:To weaken the effect of pneumoperitoneum on respiratory function.operators can take controlled quantitative respiratory,regulate the ventilation equivalent and increase the respiratory rate.
出处
《腹腔镜外科杂志》
2002年第2期112-113,共2页
Journal of Laparoscopic Surgery
关键词
外科手术
妇科
腹腔镜
气道压力
呼气末二氧化碳分压
Surgery,gynecology
Laparoscopy
Blood gas monitoring,transcutaneous
Airway pressure