[1]宫红波,耿秋雨,钭金法.二氧化碳气腹、气胸对新生儿生理影响的研究进展[J].临床小儿外科杂志,2024,(10):988-992.[doi:10.3760/cma.j.cn101785-202302046-017]
　Gong Hongbo,Geng Qiuyu,Tou Jinfa.Research progress on the physiological effects of carbon dioxide pneumoperitoneum and pneumothorax on neonates[J].Journal of Clinical Pediatric Surgery,2024,(10):988-992.[doi:10.3760/cma.j.cn101785-202302046-017]
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二氧化碳气腹、气胸对新生儿生理影响的研究进展

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 期数: 2024年10 页码: 988-992 栏目: 综述 出版日期: 2024-10-01
Title:
Research progress on the physiological effects of carbon dioxide pneumoperitoneum and pneumothorax on neonates
作者:
宫红波1;  耿秋雨1;  钭金法2
1. 国家儿童健康与疾病临床医学研究中心 浙江大学医学院附属儿童医院麻醉科,杭州 310052;
2. 国家儿童健康与疾病临床医学研究中心 浙江大学医学院附属儿童医院新生儿外科,杭州 310052
Author(s):
Gong Hongbo1;  Geng Qiuyu1;  Tou Jinfa2
1. National Clinical Research Center for Children’s Health; Department of Anesthesiology, Affiliated Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China;
2. National Clinical Research Center for Children’s Health; Department of Neonatal Surgery, Affiliated Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China
关键词:
高碳酸血症; 外科手术; 儿童
Keywords:
Hypercapnia; Surgical Procedures;  Operative; Child
DOI:
10.3760/cma.j.cn101785-202302046-017
摘要:
近年来腔镜技术的飞速发展使小儿外科医师有机会将该技术应用于新生儿群体。新生儿行腹腔镜、胸腔镜手术时外科医师向其腹腔内、胸腔内充入二氧化碳气体, 建立气腹、气胸来获得满意的手术视野;然而气腹、气胸的建立会造成腹腔、胸腔内压力升高, 进而导致二氧化碳潴留甚至高碳酸血症, 影响机体的生理功能。本文就建立二氧化碳气腹、气胸对新生儿的生理影响进行综述。
Abstract:
In recent years, the rapid development of endoscopic technology has allowed pediatric surgeons to apply this technique to the neonatal population.During laparoscopic and thoracoscopic surgeries in neonates, surgeons insufflate carbon dioxide into the abdominal and thoracic cavities to create pneumoperitoneum and pneumothorax, respectively, to achieve a satisfactory surgical view.However, the establishment of pneumoperitoneum and pneumothorax increases intra-abdominal and intrathoracic pressures, leading to carbon dioxide retention and potentially hypercapnia, which affects physiological functions.This article reviews the physiological effects of carbon dioxide pneumoperitoneum and pneumothorax on neonates.

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备注/Memo

收稿日期:2023-2-28。
基金项目:国家自然科学基金(82171699)
通讯作者:钭金法,Email:toujinfa@zju.edu.cn

更新日期/Last Update: 2024-10-28