阑尾切除术；气腹_人工；麻醉_静脉；腹腔镜；儿童_

儿童腹腔镜阑尾切除术CO2气腹对呼吸的影响

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

阑尾切除术；气腹,人工；麻醉,静脉；腹腔镜；儿童,,阑尾切除术；气腹，人工；麻醉，静脉；腹腔镜；儿童,【摘要】,【关键词】,1资料与方法,2结果,3讨

     【摘要】 目的：探讨儿童腹腔镜阑尾切除术(LA)CO2气腹对呼吸的影响。方法：47例小儿行LA，观察气腹前后PETCO2、SpO2、Ppeak的变化。结果：气腹后比气腹前患儿SpO2下降;而Ppeak、PETCO2上升。放气后PETCO2、SpO2、Ppeak基本恢复至气腹前水平。PETCO2气腹前后有显著差异，术终拔管前降至近气腹前水平。无低氧血症发生。结论：加强呼吸循环监测，术中合理用药，能使腹腔镜手术麻醉顺利完成，儿童腹腔镜手术将更安全可靠。

     【关键词】 阑尾切除术；气腹，人工；麻醉，静脉；腹腔镜；儿童

    Effect of CO2 pneumopertoneum on respiration in laparoscopic appendectomy for children

    WU Lin,LI Guoqing,LIU Yong.

    Department of Anesthesia,Shenyang Fifth People's Hospital,Shenyang 110023,China

    【Abstract】 Objective:To investigate the effect of CO2 pneumoperitoneum on respiration in child laparoscopic appendectomy(LA).Methods:The PETCO2 ,SpO2 and Ppeak before and after pneumoperitoneum of 47 children undergoing LA were compared.Results:SpO2 decreased after pneumoperitoneum as compared with that before pneumoperitoneum,while Ppeak and PETCO2 increased.After deflation,PETCO2,SpO2 and Ppeak generally recovered to the level before pneumoperitoneum.The level of PET CO2 was significantly different before and after pneumoperitoneum,and it went down to the level before pneumoperitoneum before drawing the tube at the end of the operation. No hyoxemia occurred.Conclusions:Strentreing the respiratory and circulatory moritoning and paying attention to rational use of drug,anesthesia in LA will be more successfully and safely. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/07/13/02/89/14.htm

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