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第三代喉罩在妇科腹腔镜手术全麻中的应用 被引量:3

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摘要 目的观察第三代喉罩(PLMA)在妇科腹腔镜手术全麻中对正压通气的影响。方法择期妇科腹腔镜手术病人60例,随机分为套囊充气量为15mlPLMA(P1)组、套囊充气量为30mlPLMA(P2)组、套囊充气量为15ml传统喉罩(CLMA)(C1)组和套囊充气量为30mlCLMA(C2)组,每组15例。记录麻醉后正压通气10min期间心率(HR)、平均动脉压(MAP)、气道峰压(Ppeak)、脉搏血氧度(SpO2)、呼气末二氧化碳分压(PETCO2)、肺顺应性(C)、吸气潮气量(VTi),呼气潮气量(VTe),漏气分数(LF)值,并监测呼吸道密封压及有无漏气声。结果4组HR、MAP、Ppeak、SpO2、PETCO2、C、VTi均未见明显变化(P>0.05)。PLMA组VTe值、密封压均明显高于CLMA组(P<0.01)。PLMA组LF值明显低于CLMA组(P<0.01),未听及漏气声。结论PLMA在妇科腹腔镜手术全麻中通气效果满意,比CLMA更为安全有效。
出处 《江苏医药》 CAS CSCD 北大核心 2007年第6期623-625,共3页 Jiangsu Medical Journal
关键词 喉罩 腹腔镜 全麻
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参考文献4

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二级参考文献19

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