摘要
选择ASAⅠ～Ⅱ级择期手术病人21例，行气管内静吸复合全麻下腹腔镜外科胆囊切除术和妇科卵巢囊肿摘除等手术。实施术前（基础值）、术中、CO2气腹后、气管插管时、进腹探查分离时、术毕6个阶段连续监测脉搏氧饱和度（SPO2）、呼气末CO2分压（PETCO2）、血压（BP）、心电图（ECG）、平均动脉压（MAP）等参值并分阶段分别作详细记录，其数量行均数±标准基（x±s）表示，统计学处理用t值检验。判断其显著性。结果表明：与术前比较各项参值均有显著性降低（P＜0．05和P＜0．001）、与术中比较无统计学意义。从气管插管始至手术结束，ECG76．19％明显改变。该临床研究提示：在高原地区施行腹腔镜手术时，存在一定潜在性不安全因素，值得高度重视。
21 ASA grade Ⅰ -Ⅱ fixed operation date patients of peritoneoscope cholecystectomy and oophorocystectomy etc. were performed under endotracheal and intravenous combined general anesthesia. pulse oxygen saturation (SPO2 )、 end - expiratory CO2 partial pressure (PETCO2 ), blood pressuse (BP ) 、 electrocardiogram (ECG ) and mpan arterial pressure (MAP) were monitored and recorded in detail at 6 stages:before operation, after co2 pneumoperitoneum, the time of trachel intubation, the time of intra-abdominal exploration and exclusion,after operation were completed. After statistical analysis, the results show: All the parameters are decreased than the basal value which were recorded before opration with significant difference (P<0.05 and P<0.001 ),compare with the data recorded within operation time to have no statistical significance. From trachel intubation to the end of operation, ECG are obviously changed (76.19%). Clinical study promotes that performing peritoneoscope operation in high altitude district exists certain latent unsafe factor and must pay attention highly of it.
出处
《西藏医药》
1999年第3期8-10,共3页
Tibetan Medicine
关键词
低氧环境
腹腔镜手术
临床应用
hypoxia environment, peritoneoscope operation,clinical applied study
