Schmelzer C, Stone N L
J Post Anesth Nurs. 1995 Feb;10(1):18-20.
Laparoscopic cholecystectomy has become the standard procedure for the surgical management of cholelithiasis. Compared with open cholecystectomy, this procedure offers shorter hospital stays, shorter recovery time, better cosmetic results, and an overall reduction in health care cost for the patient. As the number of cardiac patients having elective laparoscopic cholecystectomy increases, it is important for the postanesthesia nurse to understand the postoperative assessment and nursing interventions these patients require. Congestive heart failure and acute pulmonary edema are two potential complications resulting from insufflation of the abdomen and intraoperative fluids. This case study of a cardiac patient undergoing laparoscopic cholecystectomy demonstrates important postanesthesia assessment parameters.
腹腔镜胆囊切除术已成为胆结石手术治疗的标准术式。与开腹胆囊切除术相比，该手术具有住院时间短、恢复时间短、美容效果好以及患者总体医疗费用降低等优点。随着择期腹腔镜胆囊切除术的心脏病患者数量增加，麻醉后护士了解这些患者所需的术后评估和护理干预措施非常重要。充血性心力衰竭和急性肺水肿是腹部充气和术中补液引起的两种潜在并发症。本例接受腹腔镜胆囊切除术的心脏病患者的案例研究展示了重要的麻醉后评估参数。
