腹腔镜手术对机体内分泌及代谢影响的研究进展

FOREIGN MEDICAL SCIENCES OBSTET GYNECOL FASCICLE（2005）

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Abstract

CO2气腹是腹腔镜手术(LS)中必需的,会引起机体呼吸、循环及代谢方面的改变.LS虽然创伤小,也能激活机体的应激系统,使促肾上腺素、皮质醇、儿茶酚胺等水平升高,但较开腹手术(OS)轻微.而LS对肝肾功能的影响则明显高于OS,LS可使尿量、肾小球滤过率下降,抗利尿激素、醛固酮、肝酶(ALT、AST)等一过性升高,但无远期功能损伤.LS引起的高碳酸血症和呼吸性酸中毒会使机体呼吸和循环功能受限,用于有重要脏器潜在疾病者应高度重视.

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