二氧化碳气腹、气胸对新生儿生理影响的研究进展  

Research progress on the physiological effects of carbon dioxide pneumoperitoneum and pneumothorax onneonates

作　　者：宫红波 耿秋雨 钭金法[2] Gong Hongbo;Geng Qiuyu;Tou Jinfa(National Clinical Research Center for Children's Health,Department of Anesthesiology,Affiliated Children's Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;National Clinical Research Center for Children's Health,Department of Neonatal Surgery,Affiliated Children's Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]国家儿童健康与疾病临床医学研究中心、浙江大学医学院附属儿童医院麻醉科,杭州310052 [2]国家儿童健康与疾病临床医学研究中心、浙江大学医学院附属儿童医院新生儿外科,杭州310052

出　　处：《临床小儿外科杂志》2024年第10期988-992,共5页Journal of Clinical Pediatric Surgery

基　　金：国家自然科学基金(82171699)。

摘　　要：近年来腔镜技术的飞速发展使小儿外科医师有机会将该技术应用于新生儿群体。新生儿行腹腔镜、胸腔镜手术时外科医师向其腹腔内、胸腔内充入二氧化碳气体,建立气腹、气胸来获得满意的手术视野;然而气腹、气胸的建立会造成腹腔、胸腔内压力升高,进而导致二氧化碳潴留甚至高碳酸血症,影响机体的生理功能。本文就建立二氧化碳气腹、气胸对新生儿的生理影响进行综述。In recent years,therapid development of endoscopic technology hasallowed pediatric sur-geons to apply this technique to the neonatal population.During laparoscopic and thoracoscopic surgeries in neo-nates,surgeons insufflate carbon dioxide into the abdominal and thoracic cavities to create pneumoperitoneum and pneumothorax,respectively,to achieve a satisfactory surgical view.However,the establishment of pneumo-peritoneum and pneumothorax increases intra-abdominal and intrathoracic pressures,leading to carbon dioxide retention and potentially hypercapnia,which affects physiological functions.This article reviews the physiological effects of carbon dioxide pneumoperitoneum and pneumothorax on neonates.

关 键 词：高碳酸血症 外科手术 儿童 

分 类 号：R47[医药卫生—护理学]