关于腹腔镜手术麻醉说明.pptVIP

21世纪外科发展方向;一、腔镜手术的发展背景;;1795年 德国 Philip Bozzini;现代腹腔镜的起源;;;;;;揭开了微创外科发展的新纪元;;;;;;Cholecystectomies in a Hospital;Cholecystectomies in a Hospital;Cholecystectomies in a Hospital;Cholecystectomies in a Hospital;;Surgeon;;气腹;对肺功能影响;对心血管功能影响;体位;头低位 : ↑CVP and cardiac output Affect patients with coronary artery disease Elevation intraocular venous pressure (worsen acute glaucoma) Increase risk of gas embolism Atelectasis Decreased FRC, total lung volume, compliance 头高位： ↓venous return →↓cardiac output and BP;灌洗液充盈;腔镜手术的应用范围与禁忌症问题;腔镜手术的并发症情况;;Inguinal Hernia;腔镜手术对麻醉的要求：;;