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首页> 外文期刊>Surgical Endoscopy >Effect of temperature of insufflated CO2 during and after prolonged laparoscopic surgery.
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Effect of temperature of insufflated CO2 during and after prolonged laparoscopic surgery.

机译:长时间腹腔镜手术期间和之后吹入二氧化碳的温度的影响。

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摘要

BACKGROUND: Pneumoperitoneum with room temperature carbon dioxide (CO2) has been shown to decrease core temperature and urine output. METHODS: The effect of 37 degrees C (warm) and room temperature (cool) CO2 pneumoperitoneum on core temperature, urine output, and central hemodynamics was compared in 26 randomized patients undergoing prolonged laparoscopic surgery (>90 min). RESULTS: The core temperature (p < 0.05) and cardiac index (p < 0.05) were significantly higher after warm than after cool pneumoperitoneum. Urine output was significantly higher during warm (2.3 +/- 1.6 ml/kg/h) than during cool (0.9 +/- 0.7 ml/kg/h) insufflation (p < 0. 05). Two of 13 patients with warm and 11 of 13 patients with cool pneumoperitoneum needed mannitol to maintain adequate diuresis (p < 0.05). CONCLUSIONS: Warm insufflation probably causes a local vasodilation in the kidneys and may be beneficial to patients with borderline renal function.
机译:背景:气腹与室温二氧化碳(CO2)已被证明可以降低核心温度和尿量。方法:比较了随机接受长期腹腔镜手术(> 90分钟)的26例患者在37摄氏度(温暖)和室温(凉爽)的CO2气腹对核心温度,尿量和中心血流动力学的影响。结果:热气腹后的核心温度(p <0.05)和心脏指数(p <0.05)显着高于冷气腹后。温暖吹气时(2.3 +/- 1.6 ml / kg / h)的尿量显着高于凉爽吹气时(0.9 +/- 0.7 ml / kg / h)的尿量(p <0. 05)。 13例温暖的患者中有2例和13例凉性气腹患者中有11例需要甘露醇来维持足够的利尿作用(p <0.05)。结论:温暖的吹入可能会导致肾脏局部血管舒张,对肾功能不佳的患者可能有益。

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