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腹腔镜胆囊切除术:麻醉相关并发症及指南

Laparoscopic cholecystectomy: anesthesia-related complications and guidelines.

作者信息

Shantha T R, Harden J

机构信息

Southeastern Pain Institute and Medical College of Georgia, Atlanta.

出版信息

Surg Laparosc Endosc. 1991 Sep;1(3):173-8.

PMID:1669398
Abstract

Although laparoscopic cholecystectomy is gaining worldwide acceptance, it is associated with some nonsurgical complications. We report the occurrence of massive subcutaneous emphysema, bradycardia, malfunctioning oximeters, pulmonary edema, endobronchial intubation, and the patient falling from the table with change in position during this surgical procedure. Choice of anesthetics, commonly occurring anesthetic complications, and management of these problems during laparoscopic surgery are discussed.

摘要

尽管腹腔镜胆囊切除术在全球范围内越来越被接受,但它也伴随着一些非手术并发症。我们报告了在该手术过程中出现的大量皮下气肿、心动过缓、血氧饱和度仪故障、肺水肿、支气管内插管以及患者因体位改变从手术台上跌落的情况。本文还讨论了麻醉剂的选择、常见的麻醉并发症以及腹腔镜手术期间这些问题的处理方法。

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