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腹腔镜胆囊切除术切割时间与碳氧血红蛋白含量的关系

章琪 张清河 张从雨

引用本文:
Citation:

腹腔镜胆囊切除术切割时间与碳氧血红蛋白含量的关系

基金项目: 

安徽省教育厅自然科学研究项目(项目编号KJ2010B382); 

详细信息
  • 中图分类号: R657.4

Relationship between laparoscopic cholecystectomy operative time and carbonyl hemoglobin content

Research funding: 

 

  • 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。

     

  • [1]Beebe DS, Swica H, Carlson N, et al.High levels of carbon mon-oxide are produced by electro-cautery of tissue during laparoscopiccholecystectomy[J].Anesth Analg, 1993, 77 (2) :338-341.
    [2]Esper E, Russell TE, Coy B, et al.Transperitoneal absorption ofthermocautery-inducted carbon monoxide formation during laparo-scopic cholecystectomy[J].Surg Laparos Endosc, 1994, 4 (5) :333-335.
    [3]Wilks SS.Effects of pure carbon monoxide gas injection into theperitoneal avity of dogs[J].J Appl Physiol, 1959, 14 (3) :311-312.
    [4]Wang GY, Lv GY.The development of minimally invasive surgicaltechniques for the treatment of cholelithiasis[J].Chin J Clin Hepa-tol, 2011, 27 (9) :906-908.王广义, 吕国悦.胆石病微创外科治疗发展现状[J].临床肝胆病杂志, 2011, 27 (9) :906-908. (in Chinese)
    [5]Zhang ZQ, Rong DQ, Dong Q, et al.Treatment of acute cholecysti-tis by laparoscopic cholecystectomy and open cholecystectomy[J].Chin J Clin Hepatol, 2010, 26 (1) :71-72. (in Chinese) 张志强, 荣大庆, 董齐, 等.急性胆囊炎腹腔镜与开腹手术的对比分析[J].临床肝胆病杂志, 2010, 26 (1) :71-72.
    [6]Jin HM.Pathophysiology[M].Beijing:Peopbe's Medical Publish-ing House, 20007:78. (in Chinese) 金惠铭.病理生理学[M].北京:人民卫生出版社, 2007:78.
    [7]Meredith T, Vale A.Carbon monoxide poisoning[J].BMJ, 1988, 296:71-79.
    [8]Zhou WJ.A cute carbon monoxide poisoning in bathrom:a clinilalanalysis of 260 cases[J].J Jilin Univ (Med Edit) , 2012, 38 (1) :166. (in Chinese) 周卫京.浴室内急性一氧化碳中毒260例临床分析[J].吉林大学学报医学版, 2012, 38 (1) :166.
    [9]YU GY, Lin ZN, Yang ZY, et al.Relationship of smoking with CO-Hb and humeral immunity in humans[J].Chin J public Health, 2000, 16 (2) :1017-1019. (in Chinese) 余贵英, 林忠宁, 杨正焱, 等.吸烟与人体COHb及体液免疫水平关系的研究[J].中国公共卫生, 2000, 16 (2) :1017-1019.
    [10]Liu P, He YZ, Zhang XG, et al.Correlation of carboxyhemoglobinand carbon monoxide poisoning[J].Milit Med Sci, 2011, 35 (2) :134-135. (in Chinese) 刘鹏, 何跃忠, 张锡刚, 等.碳氧血红蛋白与一氧化碳中毒的相关性研究[J].军事医学, 2011, 35 (2) :134-135.
    [11]Weaver LK, Howe S, Hopkins R, et al.Carboxyhemoglobin halflife in carbon monoxide poisoned patients treated with 100%oxygenat atmospheric pressure[J].Chest, 2000, 117 (3) :801-808.
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  • 出版日期:  2013-06-20
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