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微创泌尿外科杂志  2015, Vol. 4 Issue (3): 143-145    
  论著 本期目录 | 过刊浏览 | 高级检索 |
后腹腔镜手术CO2气腹对中度高原地区患者血气的影响
李世江1,于波锋1,李家平1,高华1,王绍丽1,陆伟玲1,石红梅1,巩会杰2,闫永吉2,3
1玉溪市中医医院外二科 653100 云南玉溪;
2北京中医药大学东直门医院泌尿外科;
3昆明医科大学第二附属医院泌尿外科三病区
The influence of CO2 pneumoretroperitoneum on arterial blood gas in patients undergoing urological laparoscopic surgeries in moderate altitude region
Li Shijiang1, Yu Bofeng1, Li Jiaping1, Gao Hua1, Wang Shaoli1,Lu Weiling1, Shi Hongmei1, Gong Huijie2, Yan Yongji2, 3
1Second Surgical Department, the Traditional Chinese MedicineHhospital of Yuxi City, Yuxi 653100, China;2Department of Urology, Dongzhimen Hospital of Beijing University of Chinese Medicine; 3Department of Urology, the Second Affiliated Hospital of Kunming Medical University
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摘要 目的:观察后腹腔镜手术中CO2气腹对处于中度高原地区的泌尿外科患者血气的影响。方法:2012年1月~2014年10月对云南省玉溪地区35例泌尿外科患者行后腹腔镜手术。其中男22例,女18例,年龄23~62岁,平均48岁。术中CO2气腹压力维持在1.596~1.862 kPa (12~14 mm Hg)。设立3个监测时间点,分别于气腹建立0、30和60 min检测动脉血酸碱度(pH)、二氧化碳分压(PaCO2)和血氧分压(PaO2)。结果:气腹建立后,患者于30 min和60 min时间点的动脉血pH较0 min时间点显著降低(P<0.01);PaCO2显著上升(P<0.01)。30 min时间点pH、PaCO2与60 min时间点pH、PaCO2相比则差异无统计学意义(P>0.05)。PaO2维持在较高水平,各时间点之间比较差异无统计学意义(P>0.05)。结论:中度高原地区患者行后腹腔镜手术有高碳酸血症的潜在风险,术中应予密切观察。
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作者相关文章
李世江
于波锋
李家平
高华
王绍丽
陆伟玲
石红梅
巩会杰
闫永吉
关键词 后腹腔镜血气分析二氧化碳    
AbstractObjective: To observe the influence of CO2 insufflation on arterial blood gas in patients in moderate altitude region, undergoing urological retroperitoneal laparoscopic operations. Methods: A total of 35 patients underwent urological retroperitoneal laparoscopic surgeries from January 2012 to October 2014. The mean age of these patients was 48 years-old, including 22 males and 18 females. Pneumoretroperitoneum (12 to 14 mm Hg, CO2) was established after general anesthesia. Arterial blood samples were collected for arterial blood gas analysis at three time points: 0 min, 30 min and 60 min after insufflation. Parameters including pH, PaCO2 and PaO2 were tested. Results: Compared with 0 min, pH values at 30 min and 60 min were significantly decreased (P<0.01), and the PaCO2 values at 30 min and 60 min were greatly increased (P<0.01). There were no significant differences in both pH and PaCO between 30 min and 60 min (P>0.05). During the operation, PaO2 was maintained at a high level, and no significant differences were found among three time points (P>0.05). Conclusions: Retroperitoneal carbon dioxide insufflation has a risk of hypercapnia which should be carefully detected during the surgery.
Key wordsretroperitoneal laparoscopic surgery    blood gas analysis    CO2
收稿日期: 2015-01-07     
ZTFLH:  R69  
基金资助:云南省应用基础研究(2013FB163)
通讯作者: 闫永吉     E-mail: 7577yyj@163.com
引用本文:   
李世江,于波锋,李家平,高华,王绍丽,陆伟玲,石红梅,巩会杰,闫永吉. 后腹腔镜手术CO2气腹对中度高原地区患者血气的影响[J]. 微创泌尿外科杂志, 2015, 4(3): 143-145.
Li Shijiang, Yu Bofeng, Li Jiaping, Gao Hua, Wang Shaoli,Lu Weiling, Shi Hongmei, Gong Huijie, Yan Yongji. The influence of CO2 pneumoretroperitoneum on arterial blood gas in patients undergoing urological laparoscopic surgeries in moderate altitude region. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(3): 143-145.
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