气腹机(国外英文资料).docVIP

气腹机(国外英文资料) Principle of the pneumatic machine (reposting) 2008-09-04 21:43:20 | classification: surgical care for | Author: first page microcreation time: 2007-6-26 21:57:05: xiang almond health net The building of the air and the belly machine Laparoscopic surgery space need to be established in abdominal surgery, which requires to intraperitoneal perfusion gas, before the abdominal wall to make up, in order to have good vision and operated with instrument. The ideal gas should be non-toxic, small to the human body, easy to dissolve in the blood, colorless, and not flammable. People have tried using air, nitrous oxide, helium, argon and C02. Air has a low degree of solubility in the blood, which causes gas embolism when it enters the bloodstream. The air can also be ignited, so it cannot be used to build up the abdomen. Nitrous oxide can also be ignited, not used in the operation of laser or electrocoagulating equipment. Low solubility in the blood and more opportunities for gas embolism. The advantage of nitrous oxide is that it is not acidic when mixed with water, so unlike C02, it stimulates the peritoneum. Helium is an inert gas, which has a lower solubility factor in the blood, 37. At C, each milliliter of blood will dissolve 0.01 ml of gas. The use of helium gas does not exist in the C02, which absorbs the problem of acid poisoning, so some scholars have advocated replacing the C02 with helium and establishing a gas belly. Although the two gases will produce negative hemodynamic effects, but in patients with lung diseases at the same time using helium gas may be more appropriate, because it is difficult to use for these patients excessive ventilation to maintain the normal level of our fleet in blood. Eisenhauer used a pig animal model to evaluate the application of another inert gas, argon, in laparoscopic surgery, without the negative effects of respiratory function and respiratory acidosis. However, the total body vascular resistance increased, and the h