人工CO2气胸对机体影响的研究进展

Research progress on the effect of artificial carbon dioxide pneumothorax on the body

人工CO2气胸已广泛应用于胸心外科疾病的诊疗,胸腔内注入CO 2建立人工气胸有利于术侧维持肺萎陷,还可使一些不宜或无法实施单肺通气患者的胸腔镜手术成为可能。然而CO 2气胸会对机体正常生理功能造成广泛影响,其可干扰血流动力学稳定,抑制呼吸功能,影响凝血和神经系统功能,还可能增加肿瘤转移的潜在风险,对患者的术后恢复以及远期预后造成不良影响。本文就近年来CO 2气胸对机体影响的研究报道进行综述。

Artificial CO2 pneumothorax has been widely used in the diagnosis and treatment of cardiothoracic diseases.Injecting CO 2 into the thoracic cavity to establish artificial pneumothorax is beneficial to maintain lung collapse on the surgical side,and it can also make it possible to perform thoracoscopic surgery for patients who are unsuitable or unable to perform single lung ventilation.However,CO 2 pneumothorax will have a wide impact on the normal physiological functions of the body,which can interfere with the hemodynamic stability,inhibit respiratory function,affect coagulation and nervous system function,increase the potential risk of tumor metastasis,and have a negative impact on postoperative recovery and long-term prognosis of patients.This paper reviews the recent researches on the clinical effect of CO 2 pneumothorax on the body.