首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 2013年 6期 => 胆道疾病 =>腹腔镜胆囊切除术切割时间与碳氧血..
腹腔镜胆囊切除术切割时间与碳氧血红蛋白含量的关系
Relationship between laparoscopic cholecystectomy operative time and carbonyl hemoglobin content
文章发布日期:2013年05月06日  来源:  作者:章 琪,张清河,张从雨  点击次数:2808次  下载次数:617次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:目的探讨腹腔镜胆囊切除手术中切割时间与外周静脉血碳氧血红蛋白(COHb)含量的关系。方法选择腹腔胆囊切除术患者40例,分别于手术切割开始及结束时抽取患者外周静脉血测定COHb含量,对比其前后变化、分析其与切割时间变化的关系。结果腹腔镜手术完成38例,2例患者中转开腹。患者外周静脉血COHb含量术后(11.07%±1.18%)较术前(1.44%±026%)明显升高(P<0.05),且在一定时间内与手术切割时间呈正相关(r=0.85)。结论腹腔镜胆囊切除手术中产生的CO可导致外周静脉血COHb含量升高,且手术切割时间越长, COHb含量升高越明显。
【Abstract】:ObjectiveTo investigate whether operative time of laparoscopic cholecystectomy impacts the carbonyl hemoglobin (COHb) concentration in peripheral blood. MethodsForty patients with gallstones and indications for laparoscopic cholecystectomy were enrolled in the study. Peripheral venous blood samples were collected at the beginning and end of the operative procedure. COHb concentration was measured by UV spectroscopy. The significance of changes in COHb concentration in relation to time of the operative procedure (rounded to the nearest minute) was assessed by statistical correlation coefficient test. ResultsThe laparoscopic procedure was completed in 38 cases, and two patients required conversion to laparotomy. The content of COHb in peripheral venous blood had significantly increased during the laparoscopic operation (operation beginning: 11.07%±1.18% vs. operation end: 1.44%±0.26%, P<0.05). The change was positively correlated with operation time (r=0.85). ConclusionCarbon monoxide produced during the laparoscopic cholecystectomy procedure can lead to an increase in peripheral venous blood COHb. The longer the operation lasts, the greater the increase in COHb.
【关键字】:胆囊切除术,腹腔镜;一氧化碳;碳氧血红蛋白
【Key words】:cholecystetomy, laparoscopic; carbon monoxide; carboxyhemoglobin
【引证本文】:

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号