Aldrete J A, Tan S T, Carrow D J, Watts M K
Anesth Analg. 1976 Mar-Apr;55(2):177-81. doi: 10.1213/00000539-197603000-00010.
Salpingectomy by laparoscopy in 200 healthy outpatients employed local analgesia and "pentazepam" (pentazocine 90 mg and diazepam 30 mg in 250 ml of 5% D/W) as anesthesia. Patients received no premedication, ventilated spontaneously, without tracheal intubation, but were given nasal O2 at 3 L/min throughout the procedure. N2O was used for abdominal insufflation, and the abdominal pressure and Trendelenburg position were restricted to less than 20 cm H2O pressure and 30 degrees, respectively. Changes in arterial blood gases measured in 12 patients were unremarkable. Prolonged recovery, unsatisfactory surgical conditions, tachycardia, nausea and vomiting were infrequent.
对200名健康门诊患者进行腹腔镜输卵管切除术时,采用局部镇痛,并使用“喷他西泮”(喷他佐辛90毫克和地西泮30毫克溶于250毫升5%葡萄糖溶液中)作为麻醉剂。患者未接受术前用药,自主呼吸,无需气管插管,但在整个手术过程中给予每分钟3升的鼻导管吸氧。笑气用于腹部充气,腹部压力和特伦德伦伯格体位分别限制在低于20厘米水柱压力和30度以内。12名患者测量的动脉血气变化不明显。恢复时间延长、手术条件不理想、心动过速、恶心和呕吐等情况并不常见。