2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Cov teebmeem physiologic ntawm pneumoperitoneum suav nrog 1) kev nqus ntawm CO 2 thiab 2) hemodynamic thiab physiologic hloov pauv hauv ntau yam kabmob. vim qhov nce siab hauv plab.
Lub plab siab koj xav tau rau pneumoperitoneum?
Abdominal Insufflation (Pneumoperitoneum) Laparoscopic phais pib nrog kev tso rau hauv lub plab ntawm lub koob insufflation lossis trochar, ua raws li cov pa roj carbon dioxide (CO 2) insufflation ntawm plab kab noj hniav mus rau qhov siab ntawm intraabdominal. (IAP) ntawm 12 txog 15 mm Hg.
Pneumoperitoneum cuam tshuam rau cov hlab plawv ua haujlwm li cas?
Feem ntau, pneumoperitoneum ntau tshaj 15mmHg muaj kev cuam tshuam rau cov hlab plawv. Lub pneu- moperitoneum compresses lub vena cava thiab yog li txo qis venous rov qab mus rau lub plawv; Qhov no ua rau cov ntshav tso rau hauv qis ib nrab ntawm lub cev thiab txo qis hauv cov zis tawm.
Puas pneumoperitoneum txo qis preload?
Cov Lus Pom Zoo: Txoj haujlwm lithotomy thiab tom qab pneumoperitoneum nce preload, tej zaum vim yog cov ntshav hloov ntawm lub plab mus rau hauv lub thorax los ntawm compression ntawm splanchnic hlab ntsha tshwm sim los ntawm pneumoperitoneum.
Qhov qhib siab hauv laparoscopy yog dab tsi?
Pneumoperitoneum niaj hnub siv los ntawm cov kws phais mob raupab txhawb kev pom lub cev thiab kev phais mob thaum lub sij hawm laparoscopic txheej txheem. Qhov qhib siab hauv plab ntawm 12 mmHg (16.3 cm H2O) lossis tsawg dua thaum lub sijhawm insufflation nrog Veress koob yog suav tias yog lub cev [1].
Pom zoo:
Puas yog cov dab dab dab dab dab dab dab dab dab dab dab dab?
Myth: Ib tug dab tshos tsis yog neeg ncaj ncees yog tiasnws haum yog. Fact: Tu siab, qhov no yog ib lo lus tsis tseeb uas tau raug perpetuated los ntawm aversive trainers. Txawm hais tias haum rau lub caj dab kom zoo khawb rau hauv cov tawv nqaij rhiab nyob ib ncig ntawm lub caj dab, uas ua rau muaj kev puas tsuaj loj rau cov thyroid, esophagus, thiab trachea.
Dab tsi ntawm cov hauv qab no yog qhov cuam tshuam radical?
Infering radicals yog oxalate, tartrate, fluoride, borate thiab phosphatethiab lawv yog anionic radicals. Lawv tsim cov sib xyaw ua ke nrog peb pawg reagents xws li ammonium chloride thiab ammonium hydroxide. Dab tsi yog cuam tshuam radicals?
Vim li cas cov duab peb sab tshwj xeeb tshwj xeeb?
Kev paub txog kev sib raug zoo ntawm cov ces kaum lossis qhov sib piv ntawm ob sab ntawm cov duab peb sab tshwj xeeb tso cai rau ib tus kom sai sai suav ntau qhov ntev hauv cov teeb meem geometric yam tsis muajsiv rau ntau txoj hauv kev. Puas yog daim duab peb sab tshwj xeeb?
Dab tsi ntawm cov hauv qab no yuav tsum yog qhov kev xav ntawm txoj kev kos npe rov qab?
Yuav tsum tsis txhob muaj kev nkag tebchaws mus lossis kev tsiv teb tsaws chaw tawm ntawm cov pejxeem. Yuav tsum tsis muaj kev tuag ntawm lub cim thiab lub sijhawm rov qab los. Kev paub txog kev cim yuav tsum tsis txhob ua rau ib tus neeg ntau dua lossis tsawg dua yuav rov qab tau.
Dab tsi yog qhov tshwj xeeb tsim los ntawm kev tso dej los ntawm cov dej ntws?
Ib tus dej delta yog ib daim av tsim los ntawm kev tso cov av uas nqa los ntawm tus dej raws li qhov ntws tawm ntawm nws lub qhov ncauj thiab nkag mus qeeb qeeb lossis dej khov. Qhov no tshwm sim thaum tus dej nkag mus rau hauv dej hiav txwv, hiav txwv, estuary, pas dej, reservoir, los yog (tsawg dua) lwm tus dej uas nqa tsis tau cov sediment.