摘要
目的:测定腹腔镜术中胸-肺顺应性及呼气末CO_2分压(P_(ET)CO_2)变化为临床实践提供实验依据。方法:选择腹腔镜手术40例,测定CO_2气腹前、后胸-肺顺应性及呼气末CO_2分压(P_(ET)CO_2),并进行比较。结果:CO_2气腹前、后胸-肺顺应性降低(0.13±0.014降至0.07±0.006)cmH_2O,P_(ET)CO_2(2 6.58±3.25升至37.02±5.63)mmHg,变化显著P<0.01。结论:腹腔镜术中针对胸-肺顺应性降低和P_(ET)CO_2升高,必须加强循环支持和肺通气量的调节。
Objective： The authors studied the chest-lung adaptability in the laparoscope operation and the change of end-expiratory CO2 pressure ,which will provide the experimental evidence for clinical practices. Methods： According to 40 laparoscope operation cases, the front and back chest-lung adaptability of CO2 pneumoperitoneum and end-expiratory CO2 pressure were comparative analyzed.Results：When the front and back chest-lung adaptability of CO2 pneumoperitoneum decrease （0.13±0.014） to （0.07±0.006）cmH2O, PETCO2 will increase （26.58±3.25） to （37.02±5.63） mmHg. The change is significant P〈0.01）.Conelusion： In the laparoscope operation the circulation support should be inhanced and the pulmonary ventilation volume should be adjusted for the decrease of chest-lung adaptability and the increase of PETCO2
出处
《中国医药导刊》
2010年第6期1034-1035,共2页
Chinese Journal of Medicinal Guide
