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对功能性子宫出血病人可用子宫内膜激光切除术 (ELA)代替子宫切除术,此种手术中一个最大的并发症是冲洗液过量吸收,进入血循环引起肺水肿、代谢紊乱,甚至导致死亡.本文作者通过2个研究,探讨了ELA术中冲洗液吸收的程度,以及测定并控制子宫内压力(IUP)能否减轻这种吸收.病人共26例,除月经过多外未合并其它疾病.ELA术中用0.9%NS作冲洗液,记录液体的出入量,每5min计算一次冲洗液丢失量.手术均在全麻下进行,用芬太尼200μg、异丙酚2mg·kg~(-1)诱导及维库溴铵6mg获得肌松弛后,插入气管导管.全麻维持采用异
In patients with functional uterine bleeding endometrial laser resection (ELA) instead of hysterectomy, one of the biggest complications of such surgery is excess fluid irrigation, into the blood circulation causing pulmonary edema, metabolic disorders, and even lead to death. Through two studies, the authors explored the extent of irrigating fluid uptake in ELA surgery and the ability to measure and control intrauterine pressure (IUP) to alleviate this uptake, in a total of 26 patients who were not associated with other illnesses except for menorrhagia. Intraoperative use of 0.9% NS as a flushing fluid, the volume of fluid was recorded, every 5min to calculate the amount of fluid loss.Operation were performed under general anesthesia with fentanyl 200μg, propofol 2mg · kg ~ (-1) Induction and vecuronium bromide 6mg muscle relaxation, the insertion of tracheal catheter. General anesthesia using different