悬吊式腹腔镜胆囊切除术的麻醉处理  

Anesthesia treatment in suspension type laparoscopic cholecystectomy

作　　者：刘宗英[1] 张莉[1] 钟廷惠[1] 

机构地区：[1]四川省泸州市人民医院麻醉科,646000

出　　处：《检验医学与临床》2013年第A01期37-39,共3页Laboratory Medicine and Clinic

摘　　要：目的观察全麻下悬吊式腹腔镜胆囊切除术对呼吸循环的影响。方法择期悬吊式腹腔镜胆囊切除术患者70例，均采用气管插管全麻，分别于麻醉前、麻醉后、腹壁悬吊时、悬吊后10min、解除悬吊后5min记录心率（HR）、平均动脉压（MAP）、脉搏氧饱和度（SpO2）、呼末二氧化碳分压（PEtCO2）。观察其变化。结果与麻醉前比较：MAP差异有统计学意义（P〈0．05）；HR、SP02差异无统计学意义（P〉0．05）；PETCO2术中较稳定。结论全麻下行悬吊式腹腔镜胆囊切除术患者呼吸循环较稳定。Objective To observe the influence of suspension-laparoscopic choleeystectomy under general anesthesia on respiratory and circulatory. Methods 70 patients undergoing laparoscopie cholecystectomy of suspended were taking general anesthesia with endotracheal intubation, and before anesthesia, after anesthesia, abdominal wall hanging, l0 rain after hanging and 5 rain after lifting of suspension, heart rate （HR）, mean arterial pressure （MAP）, pulse oxygen saturation （SpO2） and end expiratory carbon dioxide partial pressure （PEtCO2） were ob- served. Results Compared with before anesthesia, MAP was statistically different （P^0.05）, HR and SPO2 were not statistically different （P〈0.05） and PEtCO2 were more stable. Conclusion Suspension type laparoscopic chole cystectomy under general anesthesia could keep respiratory and circulation more stable.

关 键 词：悬吊式腹腔镜胆囊切除术 全麻 呼吸循环 

分 类 号：R657.4[医药卫生—外科学]