比较人工腔隙与自然腔隙CO2气腹对血流动力学及动脉血气的影响临床医学.docVIP

比较人工腔隙与自然腔隙CO2气腹对血流动力学及动脉血气的影响临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：比较人工腔隙与自然腔隙CO2气腹对血流动力学及动脉血气的影响临床医学 2 1资料与方法 3 文2：CO2气腹对围术期机体的影响 7 一、CO2气腹对呼吸系统的影响 7 二、CO2气腹对循环系统的影响 7 三、CO2气腹对神经系统的影响 8 四、CO2气腹对肾血流及肾功能的影响 8 五、CO2气腹对肝功能的影响 8 六、CO2气腹对硬膜外腔压力的影响 8 七、CO2气腹对凝血功能的影响 9 八、CO2气腹对细胞免疫的影响 9 九、CO2气腹对红细胞免疫系统的影响 9 十、CO2气腹对腹膜内环境的影响 10 十一、CO2气腹对术后疼痛的影响 11 十二、CO2气腹对细菌播散的影响 11 十三、CO2气腹对肿瘤生长的影响 12 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 14 正文 比较人工腔隙与自然腔隙CO2气腹对血流动力学及动脉血气的影响临床医学 文1：比较人工腔隙与自然腔隙CO2气腹对血流动力学及动脉血气的影响临床医学 Effects of Carbon Dioxide Pneumoperitoneum by Mea of Artificial Space or Natural Space on Hemodynamics and Arterial Blood Gas Analysis Abstract： ObjectiveTo discuss the effects of carbon dioxide pneumoperitoneum by mea of artificial space or natural space on hemodynamics and arterial blood gas. MethodsOnehurdred and three patients scheduled for elective laparoscopic surgery were included in this trial. The paramete, such as BP (blood pressure), HR (heart rate), SaO2 (arterial oxygen saturation) PETCO2 (pressure of endtidal CO2) and so on, were recorded and analyzed before pneumoperitoneum and 15, 30, 45, 60 and 90 minutes after pneumoperitoneum, respectively in artificial space group (n=58) and natural space group (n=45). ResultsIn both the groups, BP, HR, PETCO2 and PaCO2 (arterial partial pressure of CO2) increased signicantly after pneumoperitoneum when compared with that of prepneumoperitoneum (P), while PETCO2 and PaCO2 were higher in the artificial space group than in the natural space group 40, 60 and 90 minutes after pneumoperitoneum (P). ConclusionPETCO2 and PaCO2 change obviously after pneumoperitoneum and tend to be stable 30 minutes after pneumoperitoneum, but artificial space influence such indexes more. Key words： artificial space; natural space, laparoscopy; carbon dioxide; anesthesia 腔镜手术具有创口小,恢复快,无碍美观，又符合病人心理需求而受到外科医师与病人的欢迎。腹腔镜手术需要灌注二氧化碳(CO2)制造人工气腹，对患者生理变化有一定的影响。对于腹膜内器官，经腹膜灌注二氧化碳(CO2)制造人工气腹入路是经典的手