【摘要】 目的 :探讨小儿腹腔镜手术时二氧化碳气腹对其呼吸和循环的影响。方法 :选择小儿腹腔镜手术的患儿分成婴儿组 (A组 )和幼儿组 (B组 ) ,选择开腹手术患儿作为对照组 (C组 ) ,连续监测记录围手术期心率 (HR)、血氧饱和度 (SpO2 )、血压 (SBP/DBP)、血气分析结果 (pH、PaCO2、PaO2 、SpO2 )。结果 :A组、B组气腹后 2 0minSBP/DBP、PaCO2 明显高于气腹前 ,(P <0 0 5 ) ,气腹后 6 0minpH值明显高于气腹前 (P <0 0 5 )。A组气腹后 2 0min与C组插管后 4 5min相比SBP/DBP、PaCO2 、pH值差异均有统计学意义 (P <0 0 5 )。结论 :二氧化碳气腹对婴幼儿的呼吸和循环系统均有不同程度的影响更多还原

【Abstract】 Objective:To investigate the effect of carbon dioxide pneumoperitoneum on respiration and circulation during pediatric laparoscopy.Methods:According to the age,24children with pediatric laparoscopy were divided into grope A(0～1 years) and group B(1～3 years),meanwhile 12 children with laparotomy as control group.The HR,SBP/DBP and SpO 2 were recoreded continuously in each patient and the arterial blood gas analysis was performed at planned period.Results:20 minutes after the establishment of pneumoperitoneum,the SBP/DBP and PaCO 2 of group A and group B were increased significantly than the pre-pneumoperitoneum(P<0.05).20 minutes after the establishment of pneumoperitoneum,the SBP/DBP,PaCO 2 and pH of group A were different significantly with 45 minutes after intracheal intubation in group C(P<0.05).Conclusion:Carbon dioxide pneumoperitoneum has different effect on children’s respiration and circulation.更多还原