Effects of pneumoperitoneum with carbon dioxide on the circulation and respiration in old patients undergoing retroperitoneoscopy

GU bo; et al

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Effects of pneumoperitoneum with carbon dioxide on the circulation and respiration in old patients undergoing retroperitoneoscopy

更新时间：2024-01-17

- Effects of pneumoperitoneum with carbon dioxide on the circulation and respiration in old patients undergoing retroperitoneoscopy
- Journal of Chongqing Medical University Issue 3, Pages: 300-302(2007)
- 作者机构：
  
  1. 重庆医科大学附属第一医院麻醉科
  2. 重庆医科大学附属第一医院麻醉科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R614
- Published：2007，
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[1]古博,闵苏.老年后腹腔镜手术CO_2气腹对循环及呼吸的影响[J].重庆医科大学学报,2007(03):300-302.

GU bo, et al. Effects of pneumoperitoneum with carbon dioxide on the circulation and respiration in old patients undergoing retroperitoneoscopy. [J]. Journal of Chongqing Medical University (3):300-302(2007)
[1]古博,闵苏.老年后腹腔镜手术CO_2气腹对循环及呼吸的影响[J].重庆医科大学学报,2007(03):300-302. DOI：

GU bo, et al. Effects of pneumoperitoneum with carbon dioxide on the circulation and respiration in old patients undergoing retroperitoneoscopy. [J]. Journal of Chongqing Medical University (3):300-302(2007) DOI：

摘要

目的:探讨老年病人行后腹腔镜手术时CO2气腹对血流动力学、气体交换、动脉血气的影响。方法:30例择期后腹腔镜手术病人

年龄大于65岁

ASAⅡ-Ⅲ级

在静脉、吸入复合全身麻醉下完成手术。分别于麻醉前、CO2气腹前、CO2气腹后5、10、30、60、120min时记录血压、心率、血氧饱合度、呼气末二氧化碳分压（PetCO2）等参数

同时行血气分析。结果:CO2气腹后10min

BP、HR显著增高（P<0.05）。CO2气腹后30minPetCO2、PaCO2显著增高（P<0.05）

随时间延长有加重趋势

60min达高峰

以后变化不大。CO2气腹后30minpH显著下降（P<0.05）。结论:老年后腹腔镜手术时CO2气腹对机体有一定影响

应在密切监护下可完成手术。

Abstract

Objective:To investigate the effects of pneumoperitoneum with carbon dioxide(CO2)on the hemodynamics

arterial blood gas and ventilatory function in old patients undergoing retroperitoneoscopy.Methods:Thirty patients over 65 years undergoing elective retroperitonoscopy were studied under general anesthesia

ASAⅡ-Ⅲ.Before anesthesia

before and after CO2 insufflations

the changes of MAP

SPO2

PetCO2 at 5?10?30?60?120min were observed and the blood gas at different time was analysed.Results:The MAP and HR were increased significantly respectively(P<0.05)10 min after CO2 insufflations. The PetCO2 and Pa CO2 were increased significantly(P<0.05)30 min after CO2 insufflations

and maintained increment during the insufflations period until 60 min after CO2 insufflations.PH was decreased significantly(P<0.05)30 min after CO2 insufflations.Conclusions:Pneumoperitoneum with CO2 could enhance the risk of aged patients for retroperitonoscopic surgery. It is important to monitor aged patients during the anesthesia period with pneumoperitoneum.

关键词

后腹膜腔镜气腹老年人

Keywords

Retroperitoneal laparoscopypneumoperitoneumelderly

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