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首页> 外文期刊>Surgical Endoscopy >Carbon dioxide pneumothorax during laparoscopic surgery.
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Carbon dioxide pneumothorax during laparoscopic surgery.

机译：腹腔镜手术中的二氧化碳气胸。

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BACKGROUND: Anesthetic considerations for laparoscopic cholecystectomy are similar to those for other laparoscopic procedures and result from the creation of a pneumoperitoneum by insufflation of carbon dioxide (CO 2) into the abdominal cavity. The resultant problems such as decreased functional residual capacity, increased airway pressure, hypercarbia, and circulatory impairment are well known [1]. The reported case is that of a healthy 45-yr-old man who underwent elective laparoscopic cholecystectomy under general anesthesia. As surgery proceeded he developed hypercapnia (arterial blood partial pressure of CO 2 [pCO] 2], 97.1 mmHg; extrapolated end-tidal CO 2 tension [P ETCO 2], 90 mmHg) and hypoxemia (partial pressure of oxygen [pO 2], 53.1 mmHg). The cause was attributed to absorption of CO 2 directly related to the surgical pneumoperitoneum. This report illustrates the diagnosis and management of an unusual case of CO 2 absorption, resulting in hypercapnia and hypoxemia, and a spontaneous recovery within 30 to 60 min without need of thoracentesis.
机译：背景：腹腔镜胆囊切除术的麻醉考虑与其他腹腔镜手术相似，并且是由于将二氧化碳（CO 2）注入腹腔而产生了气腹。由此产生的问题，例如功能残留能力降低，气道压力升高，高碳酸血症和循环障碍等，是众所周知的[1]。报道的病例是一个健康的45岁男性，他在全身麻醉下进行了选择性腹腔镜胆囊切除术。随着手术的进行，他出现了高碳酸血症（CO 2 [pCO] 2的动脉血分压，97.1 mmHg;潮气末外推CO 2张力[P ETCO 2]，90 mmHg）和低氧血症（氧分压[pO 2]）。 ，53.1 mmHg）。原因归因于与手术气腹直接相关的CO 2吸收。该报告说明了诊断和处理CO 2吸收异常的情况，从而导致高碳酸血症和低氧血症，并在30至60分钟内自发恢复而无需进行胸腔穿刺术。

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