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目的分析腹腔镜下宫颈癌根治术的麻醉处理。方法 50例在腹腔镜辅助下进行宫颈癌根治术患者为研究对象,分析不同时间点患者呼吸循环指标的变化情况。结果患者术前、手术开始后5 min、手术开始后30 min及拔管后患者收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(Sp O2)、呼气末二氧化碳分压(PETCO2)比较,差异无统计学意义(P>0.05);术后发生少尿2例,皮下血肿1例,且无一例患者发生相循环机呼吸系统不良反应。结论腹腔镜下宫颈癌根治术的麻醉处理时,需维持其血流动力学、电解质稳定,提高麻醉安全性。
Objective To analyze the anesthesia of laparoscopic radical mastectomy of cervical cancer. Methods Fifty patients undergoing laparoscopic assisted radical resection of cervical cancer were enrolled in this study. The changes of respiratory index in patients at different time points were analyzed. Results Before operation, 5 min after the start of surgery, 30 min after the start of operation and SBP, DBP, HR, Sp O2, (P> 0.05). There were 2 cases of oliguria and 1 case of subcutaneous hematoma after operation, and none of them had adverse reactions of respiratory system of phase machine. Conclusions In laparoscopic radical mastectomy for cervical cancer, it is necessary to maintain hemodynamics, stabilize electrolytes and improve anesthesia safety.