野战条件下开展动物腹腔镜手术的方法体会  

Methods and Experience of Animal Laparoscopic Surgery Under Field Conditions

作　　者：肖海峰 薛姣 刘晓雷 董兴宝 XIAO Haifeng;XUE Jiao;LIU Xiaolei;DONG Xingbao(Department of Anesthesiology,NO.987 Hospital of Joint Logistics Support Force of People′s Liberation Army,Baoji Shaanxi 721000,China;不详)

机构地区：[1]联勤保障部队987医院麻醉科,陕西宝鸡721000 [2]联勤保障部队987医院门诊部,陕西宝鸡721000 [3]联勤保障部队987医院卫勤处,陕西宝鸡721000 [4]空军军医大学唐都医院检验科

出　　处：《联勤军事医学》2024年第1期60-62,共3页Military Medicine of Joint Logistics

基　　金：野战医疗队规范化建设和装备革新研究一般项目(院卫[2022]Djbqyy-12)。

摘　　要：目的总结野战条件下开展动物腹腔镜手术的方法,为野战条件下使用腹腔镜救治闭合性腹部战创伤进行探索。方法在医疗队外训期间,选择山羊3只(A、B、C),每只山羊实施两次手术,两次手术间隔2天,使用临床常用麻醉药进行不插管全麻,麻醉成功后首先对腹腔进行探查,采用人工方法建立肠破裂模型,对破裂肠壁进行缝合。记录山羊的血氧饱和度、心率、术中体动次数、出血量,记录腹腔探查时间、手术时间(开始切皮至缝皮结束时间)。结果3只山羊术中生命体征平稳,麻醉及手术过程顺利,术后苏醒迅速,抬离手术台后均能站立行走,正常存活。结论在不插管全麻条件下开展动物腹腔镜手术,麻醉管理方便,腹部战创伤手术全流程训练均可实现,表明野战条件下使用腹腔镜救治腹部战创伤具有可行性。Objective To summarize the methods of animal laparoscopic surgery under field conditions,and to make an exploration for the use of laparoscope in treating closed abdominal trauma under field conditions.Methods During the external training of the medical team,3 goats were selected(A,B,C),and each goat was operated twice,with 2-days interval between the two operations.General anesthesia without intubation was performed with commonly used clinical anesthetics,after successful anesthesia,the abdominal cavity was first explored,and an artificial model of intestinal rupture was established to suture the ruptured intestinal wall.The blood oxygen saturation,heart rate,number of body movements and bleeding volume during the operation were recorded,and the abdominal exploration time and operation time(from the beginning of skin cutting to the end of skin suture)were recorded.Results The vital signs of the 3 goats were stable during the operation,the anesthesia and operation process were smooth,the goats woke up quickly after the operation,and they could walk on their feet after lifting off the operating table,and they survived normally.Conclusion Laparoscopic surgery of animals is carried out under the condition of general anesthesia without intubation,which is convenient for anesthesia management and can realize the whole process of surgical training,indicating that it is feasible to use laparoscopy to treat abdominal war trauma under field conditions.

关 键 词：野战训练 动物 腹腔镜 微创手术 

分 类 号：R61[医药卫生—外科学]