氧气与二氧化碳气腹在小儿腔镜疝囊高位结扎中的应用对比

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Abstract Objective To compare the effect of oxygen and the carbon dioxide pneumoperitoneum in the laparoscopic high ligation of hernial sac in children.Methods 200 cases of children with inguinal hernia(less than or equal to 8 years old)from February 2010 to July 2016 in the People′s Hospital of Dayu County were randomly divided into group A and group B,with 100 cases in each.Group A was given oxygen,and the group B was given carbon dioxide pneumoperitoneum for single port high ligation of the hernial sac.The changes of pH,partial pressure of oxygen(PaO2),carbon dioxide partial pressure(PaCO2),heart rate(HR),body temperature at previous 5 min,10 min after pneumoperitoneum,and 30 min after pneumoperitoneum were compared between the two groups,as well as the postoperative recovery time and complication rates.Results The changes of pH values,PaO2,PaCO2,HR and body temperature at 10 min after pneumoperitoneum,and 30 min after pneumoperitoneum between the two groups has significant differences(P＜0.05).The postoperative recovery time in the group A was significantly shorter than that in the group B(P＜0.05).The complication rate in the group A was far lower than that in the group B(P＜0.05).Conclusion The effect of oxygen pneumoperitoneum in laparoscopic high ligation of hernial sac in children than in the traditional carbon dioxide pneumoperitoneum is better,which can stabilize the blood gas index,but also can shorten the postoperative recovery time and reduce complications.

Key words： Oxygen Carbon dioxide Laparoscopic high ligation of hernial sac

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	ZHONG Fei
	GUO Zhen-yu
	ZHONG Xiang

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ZHONG Fei,GUO Zhen-yu,ZHONG Xiang. Comparison of application of oxygen and carbon dioxide pneumoperitoneum in the laparoscopic high ligation of hernial sac in children[J]. 中国当代医药, 2017, 24(10): 99-101转105.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I10/99

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