CAJ | 학술논문

目的探讨腹腔镜胆囊切除术中CO2气腹对心血管系统的影响.方法行腹腔镜胆囊切除术的慢性胆囊炎合并胆石病患者50例,根据术中CO2气腹压力分为低气腹压组和高气腹压组各25例,观察CO2气腹不同阶段心率、血压、血氧饱和度和心电图的变化.结果 CO2气腹建立时心率减慢、血压降低;建立30 min后心率加快、血压升高,部分病例心电图发生变化;气腹消退后恢复正常.血氧饱和度无明显变化.结论腹腔镜胆囊切除手术中CO2气腹可引起一过性心率、血压、心电图改变,但仍然是一种安全有效的治疗手段.
목적 탐토복강경담낭절제술중CO2기복대심혈관계통적영향.방법 행복강경담낭절제술적만성담낭염합병담석병환자50례,근거술중CO2기복압력분위저기복압조화고기복압조각25례,관찰CO2기복불동계단심솔、혈압、혈양포화도화심전도적변화.결과 CO2기복건립시심솔감만、혈압강저;건립30 min후심솔가쾌、혈압승고,부분병례심전도발생변화;기복소퇴후회복정상.혈양포화도무명현변화.결론 복강경담낭절제수술중CO2기복가인기일과성심솔、혈압、심전도개변,단잉연시일충안전유효적치료수단.
Objective To observe the effect of CO2 pneumoperitoneum laparoscopic cholecystectomy (LC) on the cardiovascular function. Methods Fifty patients with chronic cholelithiasis undergone laproscopic surgery were selected. During various stage of CO2 insufflations, heart rate( HR), blood pressure, oxygen saturation and electrocardiogram(ECG) were detected. Results When CO2 pneumoperitoneum was established, HR and blood pressure decreased. After 30 minutes HR and blood pressure increased obviously. ECG changed on some patients. These changes restored after pneumoperitoneum was eliminated. Oxygen saturation had no distinct changes. Conclusion CO2 pneumoperitoneum caused temporary changes of HR, blood pressure and ECG. LC procedure is safe to patients with gallstone.