腹腔高压对呼吸力学及血流动力学的影响
The influence of intra-abdominal hypertension on respiratory mechanics and hemodynamics

李涛,李刚.腹腔高压对呼吸力学及血流动力学的影响[J].内科急危重症杂志,2015,21(3):

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英文关键词:Intra-abdominal hypertension Respiratory mechanics Hemodynamics

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作者	单位	E-mail
李涛	中日友好医院	littlestudy@126.com
李刚	中日友好医院	doctorlipaper@163.com

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中文摘要:

目的：评估腹腔高压对呼吸力学及血流动力学的影响。方法：30例择期行腹腔镜胆囊切除术的患者,利用气腹建立腹腔高压人体模型,采用自身对照试验,分别观察腹腔高压前(T0)、腹腔高压中(T1)呼吸力学及血流动力学指标的变化。结果：与T0比较,T1气道峰压(Peak)、平台压(Plat)明显升高(均P<0.05),但两者之差没有明显变化,同时呼吸系统顺应性(Compliance)显著降低(P<0.05)；中心静脉压(CVP)、心率(HR)、平均动脉压(MAP)、每搏变异率(SVV)及外周血管阻力(SVR)明显升高(均P<0.05),但每搏输出量(SV)明显降低(P<0.05)。结论：腹腔高压会显著改变患者的呼吸力学及血流动力学指标。

英文摘要:

Objective：To evaluate the influence of intra-abdominal hypertension on respiratory mechanics and hemodynamics. Methods：The intra-abdominal hypertension was exerted on thirty patients scheduled for laparoscopic cholecystectomy by penumopetritoneum. respiratory mechanics and hemodynamics parameters were measured before(T0) and during(T1) penumopetritoneum.Results：The peak airway pressure and the plate airway pressure increased significantly during penumopetritoneum(T1)(P<0.05).But the gap was stable.Besides the respiratory compliance decreased(P<0.05).The central venous pressure(CVP),heart rate(HR),mean arterial pressure(MAP),Stroke volume variation(SVV)and systemic vascular resistance(SVR)increased significantly(P<0.05).The stroke volume decreased significantly(P<0.05).Conclusion：The intra-abdominal hypertension can affact respiratory mechanics and hemodynamics parameters significantly.