腹腔镜外科杂志2011，Vol.16Issue(3)：174-177,4.DOI:10.3969/j.issn.1009-6612.2011.03.006
控制性低中心静脉压在腹腔镜肝切除术中的应用
Application of controlled low central venous pressure in laparoscopic hepatectomy
刘哲 1张文智 1赵向前 1胡丙洋1
作者信息
- 1. 解放军总医院,全军肝胆外科研究所,北京,100853
- 折叠
摘要
Abstract
Objective :To evaluate the feasibility of controlled low central venous pressure (CLCVP) in laparoscopic bepatectomy. Methods: During Sep. 2009 and Aug. 2010,23 cases of laparoscopic hepatectomy and 35 cases of open hepatectomy were treated by CLCVP. Their clinical records were retrospectively studied, including intraoperative PaO2, PaCO2, SpO2, PET CO2, the blood loss, total transfusion,changes of liver and renal function perioperatively. Results: Between the two groups, there was no statistically significant difference in PaO2 ,PaCO2 ,SpO2 ,PETCO2 ,the volume of blood loss and total transfusion (P ＞0.05 ). The changes of liver and renal function perioperatively were not significantly different between the two groups (P ＞ O. 05 ). Conclusions: CLCVP applied to laparescopic hepatectomy is generally safe and feasible. It must be strengthened in the management and monitoring of anesthesia, improvement of the awareness and prevention of the air embolism risk.关键词
肝切除术/腹腔镜检查/中心静脉压/出血/对照研究Key words
Hepatectomy/ Laparoscopy/ Central venous pressure/ Hemorrhage/ Comparative study分类
医药卫生引用本文复制引用
刘哲,张文智,赵向前,胡丙洋..控制性低中心静脉压在腹腔镜肝切除术中的应用[J].腹腔镜外科杂志,2011,16(3):174-177,4.
