呼气末二氧化碳监测在临床麻醉中的应用与研究进展  

Application and research advances of end-tidal carbon dioxide monitoring in clinical anesthesia

作　　者：舒进军[1] 谷茜 曾德玲 王怀明[1] 邹江[1] Shu Jinjun;Gu Qian;Zeng Deling;Wang Huaiming;Zou Jiang(Department of Anesthesiology,Sichuan Clinical Research Center for Cancer,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,Affiliated Cancer Hospital of University of Electronic Science and Technology of China,Chengdu 610041,China;School of Medicine,University of Electronic Science and Technology of China,Chengdu 610054,China;Health Management Center,Sichuan Clinical Research Center for Cancer,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,Affiliated Cancer Hospital of University of Electronic Science and Technology of China,Chengdu 610041,China)

机构地区：[1]四川省肿瘤临床医学研究中心,四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学附属肿瘤医院麻醉科,成都610041 [2]电子科技大学医学院,成都610054 [3]四川省肿瘤临床医学研究中心,四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学附属肿瘤医院健康管理中心,成都610041

出　　处：《国际麻醉学与复苏杂志》2023年第9期970-974,共5页International Journal of Anesthesiology and Resuscitation

基　　金：四川省科学技术厅重点研发项目(2020YFS0419)。

摘　　要：呼气末二氧化碳(end-tidal carbon dioxide, EtCO_(2))作为一种无创的监测方式, 广泛应用于各类手术的术中监测, PETCO_(2)不仅反映机体的呼吸功能, 也可以反映机体的循环功能和代谢功能。文章总结了EtCO_(2)在临床麻醉中对严重过敏反应、肺动脉灌注障碍、气体栓塞以及恶性高热协助诊断的应用价值, 并对PETCO_(2)与术后谵妄、术后肺部并发症、术后恶心呕吐相关性的研究进行综述, 以期通过PETCO_(2)监测来协助判断临床麻醉中出现的相应变化, 早期发现并及时处理, 改善患者的预后。End-tidal carbon dioxide(EtCO_(2))is widely used in intraoperative monitoring of various surgeries.End-tidal carbon dioxide partial pressure(PETCO_(2))not only reflects the changes in the respiratory function of the body but also reflects the changes in the circulatory function and metabolic function of the body.This paper summarizes the application value of EtCO_(2) in clinical anesthesia in detecting intraoperative severe allergic reactions,intraoperative pulmonary artery perfusion disorders,intraoperative gas embolism,and intraoperative malignant hyperthermia in recent years.This paper also reviews the correlation between PETCO_(2) and postoperative delirium,postoperative pulmonary complications,postoperative nausea,and vomiting.It is expected that PETCO_(2) monitoring can help to find the corresponding changes in clinical anesthesia and to improve the prognosis of patients through early detection and timely treatment.

关 键 词：呼气末二氧化碳 二氧化碳描记图 麻醉 

分 类 号：R614[医药卫生—麻醉学]