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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。

相似文献

1
Laparoscopic cholecystectomy: anesthesia-related complications and guidelines.腹腔镜胆囊切除术:麻醉相关并发症及指南
Surg Laparosc Endosc. 1991 Sep;1(3):173-8.
2
[A case of endotracheal tube obstruction caused by pneumoperitoneum during laparoscopic cholecystectomy].[1例腹腔镜胆囊切除术期间气腹导致气管内导管阻塞的病例]
Masui. 1998 Dec;47(12):1490-2.
3
[Subcutaneous emphysema. Complication associated with pneumoperitoneum during videolaparoscopic cholecystectomy].[皮下气肿。腹腔镜胆囊切除术中与气腹相关的并发症]
Minerva Chir. 2001 Aug;56(4):405-7.
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[Anesthesia for laparoscopic cholecystectomy with CO2: comparison of hemodynamic and ventilatory behavior using 2 different anesthetic techniques].[二氧化碳气腹腹腔镜胆囊切除术的麻醉:两种不同麻醉技术对血流动力学和通气行为的比较]
Rev Esp Anestesiol Reanim. 1996 Jun-Jul;43(6):227-8.
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[Sudden difficulty in ventilation due to massive subcutaneous emphysema during laparoscopic cholecystectomy].[腹腔镜胆囊切除术期间因大量皮下气肿导致的突发通气困难]
Masui. 2005 Jun;54(6):658-61.
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Carbon dioxide embolism during laparoscopic cholecystectomy due to a patent paraumbilical vein.腹腔镜胆囊切除术期间因脐旁静脉通畅导致二氧化碳栓塞
J Pediatr Surg. 2007 Mar;42(3):570-2. doi: 10.1016/j.jpedsurg.2006.10.051.
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Intraoperative complications of laparoscopic cholecystectomy.腹腔镜胆囊切除术的术中并发症
Can J Anaesth. 1993 May;40(5 Pt 1):459-64. doi: 10.1007/BF03009518.
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Preoperative morbidity and anaesthesia-related negative events in patients undergoing conventional or laparoscopic cholecystectomy.
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Cardiovascular and respiratory changes in laparoscopic cholecystectomy.腹腔镜胆囊切除术中的心血管和呼吸变化。
J Med Assoc Thai. 1996 Mar;79(3):171-6.
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[Severe subcutaneous emphysema and hypercapnia during laparoscopic cholecystectomy].[腹腔镜胆囊切除术中的严重皮下气肿和高碳酸血症]
Masui. 1993 Apr;42(4):602-5.

引用本文的文献

1
Anesthesia for laparoscopic cholecystectomy in an elderly patient with emphysematous bullae-combined general and epidural anesthesia with spontaneous respiration and abdominal wall-left method.
J Anesth. 1995 Dec;9(4):348-50. doi: 10.1007/BF02479950.
2
Tube migration during laparoscopic gynecological surgery.腹腔镜妇科手术中的输卵管移位
J Anaesthesiol Clin Pharmacol. 2010 Oct;26(4):537-8.
3
Effect of implanting fibrin sealant with ropivacaine on pain after laparoscopic cholecystectomy.在腹腔镜胆囊切除术后应用罗哌卡因纤维蛋白胶对疼痛的影响。
World J Gastroenterol. 2009 Dec 14;15(46):5851-4. doi: 10.3748/wjg.15.5851.