[1]关健强,周少丽,龚楚链,等.腹腔镜下前列腺癌根治术中呼气末CO2分压的变化及意义[J].中华腔镜泌尿外科杂志(电子版),2008,(03):37-39.
　GUAN Jian-qiang,ZHOU Shao-li,GONG Chu-lian,et al.Difference between arterial and end-tidal carbon dioxide pressures in laparoscopic radical prostarectome[J].,2008,(03):37-39.
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腹腔镜下前列腺癌根治术中呼气末CO2分压的变化及意义()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2008年03期
页码:
37-39
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Difference between arterial and end-tidal carbon dioxide pressures in laparoscopic radical prostarectome
作者:
关健强; 周少丽; 龚楚链; 张祺
中山大学附属第三医院麻醉科,广州,510630
Author(s):
GUAN Jian-qiang; ZHOU Shao-li; GONG Chu-lian; ZHANG Qi
关键词:
前列腺癌; 根治术; 腹腔镜; 二氧化碳分压
摘要:
目的 观察腹腔镜前列腺癌根治术中动脉血CO2分压(PaCO2)与呼气末CO2分压(PETCO2)差值Pa-ETCO2变化及其临床意义. 方法腹腔镜前列腺癌根治术患者28例,于气管插管全身麻醉下完成手术,术中PETCO2维持在30～35mm Hg左右,分别在麻醉后(T0),气腹第30 min(T1),60 min(T2),120 min(T3),180 min(T4)取桡动脉血行血气分析测PaCO2,据监测的PETCO2及血气分析获得的PaCO2,计算每个时间点的Pa-ETCO2. 结果 气腹后各时间点PaCO2,MBP,PPEAK,Pa-ETCO2明显增高(P<0.05),人工气腹60 min后,Pa-ETCO2发生显著变化(P<0.01),部分患者出现CO2蓄积.气腹后PH值明显下降(P<0.01). 结论腹腔镜前列腺癌根治术中人工气腹60 min后PETCO2不能真实反映PaCO2,当PETCO2维持在30～35 mmHg时应监测PaCO2避免发生高碳酸血症.

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更新日期/Last Update: 1900-01-01