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腹腔镜手术二氧化碳气腹的生理效应和肺功能保护的研究进展 被引量：3

The physiological effects of carbon dioxide pneumoperitoneum during laparoscopic surgery and lung function protection
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摘要 二氧化碳气腹能改善腹腔镜手术的显露,减少术中损伤,但气腹会对身体诸多器官系统产生影响,甚至带来严重后果。该文综述了腹腔镜手术中二氧化碳气腹的生理效应及围术期的肺功能保护的研究进展。 Carbon dioxide pneumoperitoncum can distend the peritoneal space and reduce risk of intraoperatire injuries of abdominal viscera. Its disadvantage is that it would have an impact on many organ systems of the body, and even lead to serious consequences. This article reviews the physiological effects of carbon dioxide pneumoperitoneum during laparoscopie surgery and lung protective measures during perioperative period.
作者 冯继峰
机构地区 广西妇幼保健院麻醉科
出处 《中国临床新医学》 2011年第4期387-390,共4页 CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金 广西壮族自治区卫生厅自筹经费科研课题(编号:Z2010104)
关键词 气腹 生理效应 肺功能保护 Pneumoperitoneum Physiologic effect Lung function protection
分类号 R616 [医药卫生—外科学]
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参考文献25

  • 1Bannister CF, Brosius KK, Wulkan M. The effect of insufi'lation pres-sure on pulmonary mechanics in infants during laparoscopic surgical procedures [ J ]. Paediatr Anaesth,2003,13 (9) :785 - 789.
  • 2Nguyen NT,Wolfe BM. The physiologic effects of pneumoperitoneum in the morbidly obese [J]. Ann Surg, 2005, 241 (2) :219 -226.
  • 3Halachmi S, E1-Ghoneimi A, Bissonnette B,et al. Hemodynamie and respiratory effect of pediatric urological laparoscopic surgery: a retro- spective study [J]. J Urol,2003,170(4 Pt 2) :1651 - 1654.
  • 4艾登斌.简明麻醉学[M].北京:人民卫生出版社,2003.255-256.
  • 5余守章,主编.微创手术麻醉学[M].北京:人民卫生出版社,2008:19-22.
  • 6Pennant JH. Anesthesia for laparoscopy in the pediatric patient [ J ].Anesthesiol Clin North America,2001,19 ( 1 ) :69 - 88.
  • 7De Waal EE, Kalkman CJ. Haemodynamic changes during low-pres- sure carbon dioxide pneumoperitoneum in young children[ J]. Paedi- atr J Anaesth ,2003,13 ( 1 ) : 18 - 25.
  • 8O' Leafy E, Hubbard K,Tormey W, et al. Laparoscopic cholecystecto- my:haemodynami~ arid neurccndocfine responses after pneumoperito-ncum and changes on position [ J ]. Br J Anaesth, 1996,76 (5) :640 - 644.
  • 9Wedgewood J, Doyle E. Anaesthesia and laparoseopie surgery in chil- dren [ J ]. Paediatr Anaesth, 2001,11 ( 4 ) : 391 - 399.
  • 10Wittgen CM, Naunheim KS, Andrus CH, et al. Preoperative pulmona-ry function evaluation for laparoscopic cholecystectomy [ J ]. Arch Surg, 1993,128(8) :880 -885.

二级参考文献34

  • 1孙永兴,张雪松,李萍,宋晓丽,张炳熙.吸入麻醉下不同P_(ET)CO_2对手术患者数量化脑电图及听觉诱发电位指数的影响[J].中华麻醉学杂志,2005,25(12):891-893. 被引量：13
  • 2[2]Amato MB,Barbas CS,Medeiros DM,et al.Effect of a protectiveventilation strategy on mortality in the acute respiratory distress syndrome.N Engl J Med,1998,338:347-354.
  • 3[4]Tweed WA,Phua WT,Chong KY,et al.Tidal volume,lung hyperinflation and arteriaJ oxygenation during general anaesthesia..Anaesth Intensive Care,1993,21(6):806-810.
  • 4[6]Shafieha MJ,Kartha R,et al.End-tidal CO2 analyzers in proper positioning of the double-lumen tubers.Anesthesiology,1986,64:844-845.
  • 5[8]曾因明,主编.危重病医学.第1版.北京:人民卫生出版社,2001.148.
  • 6Hill NS,Levy MM.Ventilator management strategies for critical care.New York:Marcel Dekker Inc,2001:171 -241.
  • 7Singleton KD,Serkova NP,Beckey VE,et al.Glutamine attenuates lung injury and improves survival after sepsis:role of enhanced heat shock protein expression.Crit Care Med,2005,33 (6):1206-1213.
  • 8Pelosi P,Caironi P,Gattinoni L,et al.Pulmonary and extrapulmonary forms of acute respiratory distress syndrome.Semin Respir Crit Care Med,2001,22(3):259 -268.
  • 9Yoshimura S, Nishimura Y, Nishiuma T,et al. Overexpression of nitric oxide synthase by the endothelium attenuates bleomycininduced lung fibrosis and impairs MMP-9/TIMP-1 balance. Respirology, 2006 , 11 : 546 -556.
  • 10Kim JH, Suk MH, Yoon DW, et al. Inhibition of matrix metalloproteinase-9 prevents neutrophilic inflammation in ventilator-induced lung injury. Am J Physiol Lung Cell Mol Physiol,2006 , 291 :L580-587.

共引文献41

同被引文献43

  • 1杨俊玲,魏剑琴,关文增,赫国志,孙桂珍,郑姬英.老年腹部手术病人术前术后肺功能变化的研究[J].老年学杂志,1993,13(5):281-282. 被引量：2
  • 2李红霞,姚珍薇,袁瑞.妇科腹腔镜手术中肺功能和血流动力学的改变[J].陕西医学杂志,2004,33(12):1130-1131. 被引量：3
  • 3魏剑琴,李青山,尹金植,辛秀芹.老年腹部手术病人术前术后肺功能变化的研究[J].吉林医学,2005,26(12):1313-1313. 被引量：2
  • 4艾登斌.简明麻醉学[M].北京:人民卫生出版社,2003.255-256.
  • 5Jung JD, Kim SH, Yu BS,et al. Effecs of a preemptive alveolar recruitment strategy on arterial oxygenation during one-lung ventilation with different tidal volumes in patients with normal pulmonary function test[J]. Korean J Anesthesiol, 2014,8,67(2):96-102.
  • 6Ricer C,Esmaoglu A, Akin A, et al.Dexmedetomidine and meperidine prevent postanaesthetic shivering[J].Eur J Anaesthesiol,2006, 23(2):149-153.
  • 7Unzueta C,Tusman G,Suarez-Sipmann F,et al. Alvcolar recruitment improves ventilation during thoracic surgery:a randomized controlled trial[J].Br J Anaesth.2012,108(3):517-524.
  • 8Ogihara Y, Isshiki A, Rindscher JD, et al. Abdominal wall lift versus carbon dioxide insufflation for laparoscopic re- section of ovarian tumors [J]. J Clin Anesth, 1999,11(5):406-412.
  • 9Garcia PM,Belda F,Lla J,et al. Changes in chest wall and lung compliance during laparoscopic cholecy stectomy [J]. Rev Esp Anestesiol Reanim,2001,48(4) : 171.
  • 10Arai M. Perioperative respiratory and circulatory manage- ment for chronic kidney disease [J]. Masui,2013,62( 11 ) : 1313-1319.

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中国临床新医学
2011年 第4期

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