摘要
总结1992年1月～1993年2月行腹腔镜胆囊切除术150例的经验,其中30例术前、术中及术后进行动脉血气分析。手术成功141例,中转开腹手术9例(7.5%),并发症发生率7.08%,死亡率0.71%。气腹状态可致不同程度碳酸血症,且多见老年病人。重点讨论适应证、术前如何判断手术难易度、本术式对高龄和伴发心肺疾病病人的应用价值以及并发症的防治。
From January 1992 to February 1993, 150 cases of gallstones of polyp of gallbladder underwent the attempt of laparoseopic cholecystectomy. The arterial blood gas measurements were taken in 30 of the 150 patients before and after and during LC. LC was performed successfully in 141 cases. Conversion to open cholecystectomy occurde in 9 cases (7.5%). The coplication tate wsa 7.08% adn the death rate was 0.71%. In the condition of peritoneal insufflation of CO2, the PaCO2 increased in some cases, especially in elderly. The indication of LC, how to predict the operation difficulty preoperatively, the value of LC in elderly and the patient with cardiopulmonary dissases and the prevention and management of complications are meinly discussed.
出处
《北京医学》
CAS
北大核心
1993年第6期327-329,共3页
Beijing Medical Journal
