心脏瓣膜病患者行腹腔镜手术的麻醉处理  

Anaesthesia treatment of laparoscopic operation in patients with valvular heart disease

作　　者：金永涛[1] 高峰[2] 刘勇[1] 

机构地区：[1]沈阳市第五人民医院,辽宁沈阳110023 [2]沈阳市红十字会医院

出　　处：《腹腔镜外科杂志》2005年第3期174-176,共3页Journal of Laparoscopic Surgery

摘　　要：目的:总结心脏瓣膜病患者行腹腔镜胆囊切除术(LC)的麻醉处理。方法:回顾分析18例心脏瓣膜病患者临床资料,及术前准备、术中术后的麻醉及手术处理。结果:18例患者麻醉诱导期、术中及拔管期血液动力学基本稳定。气腹后HR、SBP、DBP明显上升。PaCO2气腹后虽上升,但尚在正常范围内。结论:对合并有心脏瓣膜病的患者,术前充分准备,术中加强监测和管理,以及手术医师与麻醉师密切配合,可安全的完成LC。Objective: To summarize anaesthesia treament of laparoscopic cholecystectomy in patients with valvular heart disease. Methods: The clinical data of laparoscopic cholecystectomy in 18 patients with valvular heart disease were retrospectively analyzed. And prepared before operation, treatment of anesthesia and operation during intraoperative and postoperative.Results: 18 patients had hemodynamic steadility during induction, intraoperative period and extubation. HR, SBP, DBP were increased after insufflation. PaCO2 were increased too, but in the normal rage. Conclusions: The adequately preoperative preparation and monitoring in operation, and anaesthetist cooperate with surgeons are the keys of success for laparoscopic cholecystectomy in patients with valvular heart disease.

关 键 词：心脏瓣膜病 麻醉处理 腹腔镜手术 患者 腹腔镜胆囊切除术(LC) 麻醉诱导期 血液动力学 CO2气腹 临床资料 回顾分析 术前准备 手术处理 正常范围 充分准备 手术医师 术中 拔管期 SBP DBP 麻醉师 上升 

分 类 号：R614[医药卫生—麻醉学]