气胸对腹腔镜手术期间呼吸力学的影响。
The effects of pneumothorax on the respiratory mechanics during laparoscopic surgery.
作者信息
Salihoglu Ziya, Demiroluk Sener, Demirkiran Oktay, Cakmakkaya Serpil, Aydogan Fatih, Carkman Sinan, Kose Yildiz
机构信息
Department of Anesthesia, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey.
出版信息
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):423-7. doi: 10.1089/lap.2007.0097.
Pneumothorax is rare but can be a severe complication of laparoscopic surgery. Diagnosis of pneumothorax in laparoscopy includes the sudden increase in end-tidal carbon dioxide (EtCO(2)) with a decrease in compliance and an abnormal increase in airway pressure. By these case reports, we recommend the simultaneous monitoring of airway pressures, dynamic compliance, and particularly, EtCO(2) for an immediate diagnosis and prompt treatment of pneumothorax.
气胸虽罕见，但可能是腹腔镜手术的严重并发症。腹腔镜手术中气胸的诊断包括呼气末二氧化碳（EtCO₂）突然升高、顺应性降低以及气道压力异常升高。通过这些病例报告，我们建议同时监测气道压力、动态顺应性，尤其是EtCO₂，以便对气胸进行即时诊断和及时治疗。
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