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].