摘要
作者对22例腹腔镜胆囊切除术(LC),12例全麻开腹胆囊切除术患者术前、术后肺功能及动脉血气变化进行了分析。结果显示LC组术后肺功能各指标(包括VC、FVC、FEV1和FEF25%~75%)下降率明显较开腹组低(P>0.01),而术后24小时开腹组PaCO2较LC组高(P<0.05)。结论为LC对肺功能影响小且恢复快,气腹状态下使用肌松和辅助正压呼吸可防止高碳酸血症。
Abstract:Postoperative changes of lung function and arterial blood gas were studied in 22 LC cases and 12 open surgeries performed on general anacsthesia. It was found that the decrease of VC, FVC, FEv1 and FEF(25%~75%) in LC cases was less serious than that in open surgery(P>0.01),while the level of PaCO2 measured 24 hours after the surgery was much higher in open surgery(P<0.05). The authors came to the conclusion that LC caused only minor effect on lung function which recovered soon after the procedure, and hypercapnia could be prevented by both assistant positive pressure breathing and musclc relaxant.
出处
《普外临床》
CSCD
1994年第4期237-239,共3页