题名

腹腔鏡引起之皮下氣腫

DOI

10.6666/ClinMed.201910_84(4).0110

作者

林冠儒；楊舜欽

关键词

腹腔鏡（laparoscope） ； 氣胸（pneumothorax） ； 皮下氣腫（subcutaneous emphysema）

期刊名称

臨床醫學月刊

卷期/出版年月

84卷4期（2019 / 10 / 25）

页次

664 - 666

内容语文

繁體中文
中文摘要

皮下氣腫（subcutaneous emphysema）為腹腔鏡手術常見的併發症。腹腔鏡手術中所使用的二氧化碳可能進入到皮下組織後擴散到顏面、頸部、胸部及腹部造成皮下氣腫。大多數的皮下氣腫症狀較為輕微，但廣泛性的皮下氣腫容易造成酸血症（acidosis）、高碳酸血症（hypercarbia）、高血壓、頻脈（tachycardia），甚至伴隨更嚴重的併發症，包括氣胸、氣縱膈（pneumomediastinum）、呼吸道阻塞及氣體栓塞等。本文將介紹腹腔鏡手術中發生皮下氣腫的發生率、危險因子、病生理機轉、評估、治療、嚴重併發症及預後。
主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
参考文献
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