腹腔镜术后腹痛(国外英文资料).docVIP

腹腔镜术后腹痛(国外英文资料) Abdominal discomfort and abdominal pain. To xiaomei [14] think after cystic resection, causing bile pressure relief, duodenal - biliary reflux, bile metabolic changes, abdominal discomfort and pain. There are related factors in abdominal pain The abdominal pain in the abdominal cavity during the abdominal cavity can cause abdominal pain and shoulder pain and should follow the principle of slow and low pressure. The study showed that when the CO2 pressure was greater than 15 mmHg, the postoperative shoulder, abdominal discomfort increased, and the effect of respiratory circulation increased. Pourseidi B and other [15] studies have shown that CO2 residual gas and blood accumulation in the liver are the main causes of the right upper abdominal pain after LC surgery. The incidence of abdominal or shoulder pain in the upper abdomen or shoulder was 30 % ~ 45 %, and the domestic incidence was similar to that of foreign countries. Studies have shown that the end of the LC in the abdominal cavity injection of saline 25 ~ 30 mL/kg to cover the liver, the team postoperative pain by 90% to 22% ~ 22% in the control group, such as physiological saline to join the cloth than paid, the effect is much better. In addition to the CO2 injection heating and wetting, inflation pressure is lower than 7.5 mmHg, gas flow rate is lower than 2.5 L/min, can reduce the shoulder pain, abdominal down to 10 mmHg and low velocity of 3 L/min can reduce postoperative pain [16]. 3.2 casing size and number The four poking holes in use of laparoscopic surgery and three chuo hole method, four chuo hole method is a standard method of laparoscopic surgery, but with the increase of LC surgery technology, three chuo hole is often used at present. The casing size is 10 mm, 10 mm, 5 mm, 5 mm. The domestic report showed that the patient appeared to be in pain under the right intercostal margin, because the casing under the right costal margin caused [17]. It is thought that the right costal mar