CO_2气腹对肝脏血流动力学的影响  

Effect of CO_2 pneumoperitoneum on hepatic blood flow dynamics

作　　者：薛雪[1] 吴乾渝[1] 刘岚[1] 童晓文[1] 许玲娣[2] 胡宾宾[1] 

机构地区：[1]同济大学附属东方医院妇产科,上海200120 [2]上海交通大学基础医学院免疫教研室,上海200025

出　　处：《同济大学学报（医学版）》2008年第4期58-60,69,共4页Journal of Tongji University(Medical Science)

摘　　要：目的研究CO2气腹对小型猪肝脏血流动力学的影响。方法通过测定CO2气腹组、开腹组和对照组作用下吲哚氰绿负荷实验15 min滞留率(R15 ICG),以了解肝脏血流量的变化。结果CO2气腹组R15 ICG为(61.378 7±10.596 5)%,开腹组R15 ICG为(31.561 3±5.442 8)%,对照组R15 ICG为(8.264 8±4.023)%,三组有显著差异(P<0.01)。结论CO2气腹条件下可以引起小型猪肝脏血流量的减少。Objective To study the effect of CO2 pneumoperitoneum on hepatic blood flow dynamics in pigs. Methods Indocynine Green Rate 15 （R15ICG ）is determined as an index of hepatic blood flow in laparoscopic group with CO2 pneumoperitoneum, laparotomy group and control group. Results R15ICG in laparoscopic group with CO2 pneumoperitoneum was （61. 378 7± 10.596 5）%, while R15ICG were （31. 561 3 ± 5. 442 8） % and （8. 264 8 ±4. 023 ） % in laparotomy group and in control group respectively. The level of R15ICG increased significantly in laparoscopic group with CO2 pneumoperitoneum compared with other two groups（P 〈 0.01 ）. Conclusion Hepatic blood flow dynamics decreases in CO2 pneumoperitoneum.

关 键 词：二氧化碳气腹 肝脏血流动力学 吲哚氰绿负荷实验15min滞留率 

分 类 号：R33[医药卫生—人体生理学]