• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Hemodynamic and pulmonary changes during and after laparoscopic cholecystectomy. A comparison with traditional surgery (see comments)
【24h】

Hemodynamic and pulmonary changes during and after laparoscopic cholecystectomy. A comparison with traditional surgery (see comments)

机译：腹腔镜胆囊切除术期间和之后的血流动力学和肺部变化。与传统手术的比较（见评论）

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: The cardiopulmonary changes experienced by patients who undergo laparoscopic cholecystectomy (LC) and the prognostic value of patient characteristics are not well understood. METHODS: Cardiorespiratory changes were investigated in 120 patients undergoing LC or open cholecystectomy (OC). The results and their relation to patient variables were statistically evaluated. RESULTS: The most significant cardiorespiratory changes were (A-a)PO2 increase during OC; decrease of pH and compliance and increase of peak airway pressure during LC; impairment of arterial blood gas mean values and respiratory muscle strength; atelectasis and pneumonia (five cases) after OC; and lamellar atelectasis (two cases) after LC. Significant adverse prognostic factors related to intra- and postoperative LC cardiorespiratory changes were ASA class greater than I, FEF75-85% < 900 ml, and PaO2 < 10.4 kPa (PPV, 71.4% and 46.6%, respectively). CONCLUSIONS: LC carries no significant cardiorespiratory changes provided that intraoperative monitoring of hemodynamics and respiratory parameters is done for the study of blood gas values in all patients at risk.
机译：背景：腹腔镜胆囊切除术（LC）的患者经历的心肺变化以及患者特征的预后价值尚不清楚。方法：对120例接受LC或开腹胆囊切除术（OC）的患者进行了心脏呼吸变化的调查。对结果及其与患者变量的关系进行统计学评估。结果：最显着的心肺变化是OC期间（A-a）PO2增加; LC期间pH值和顺应性降低，气道峰值压力增加;损害动脉血气平均值和呼吸肌力量; OC后肺不张和肺炎（5例）; LC后出现片状肺不张（2例）。与术中和术后LC心肺改变相关的重要不良预后因素为ASA级大于I，FEF75-85％<900 ml和PaO2 <10.4 kPa（分别为PPV，71.4％和46.6％）。结论：LC没有明显的心肺变化，只要对所有有风险的患者进行术中血流动力学和呼吸参数监测以研究血气值即可。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号