腹腔镜胆囊切除术的麻醉及监测

Anesthesia and monitoring of laparoscopic cholecyslectomy

对５００例行腹腔镜胆囊切除术病人，施行气管内全麻复合应用肌松药，安氟醚吸入维持。监测６４例ＬＣ术中ＰＥＴＣＯ２等指标，发现ＣＯ２气腹后ＰＥＴＣＯ２、ＨＲ、ＳＢＰ、ＤＢＰ在充气１０分钟后显著升高，在胆囊切除时ＰＥＴＣＯ２达到最高值，证实对呼吸循环有一定干扰，术中加强呼吸和循环监测，注意调整通气量十分重要。

patients undergoing elective laparoscopic cholecyslectomy were given endotracheal general anesthesia with muscle relaxant drug and enflurance. The value of PETCO 2, HR, SBP and DBP increased significantly ten minutes after CO 2 pneumoperitoneum. It reached the peak value of PETCO 2 at the time of excising cholecyst .It showed that CO 2 Pneumoperitoneum can influence respiratory and circulation it is much important to monitor them intensely and adjust ventilating capacity adequately.