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心脏病尤其是心功能不全的妇科患者在行气腹腹腔镜手术时,手术和麻醉等因素均有可能进一步增加患者的心脏负担,过去一直列为气腹腹腔镜手术的禁忌证。随着微创外科的发展、气腹腹腔镜技术的提高和手术经验的不断积累,因心脏疾病不能进行腹腔镜手术的患者,逐渐过渡到部分心脏病患者可以进行气腹腹腔镜手术,而且将来会面临越来越多的心脏病患者行气腹腹腔镜手术的问题。现将目前国内外关于心脏病患者行妇科气腹腹腔镜手术的进展综述如下。
Heart disease, especially in patients with heart failure gynecological pneumoperitoneum laparoscopic surgery, surgery and anesthesia and other factors are likely to further increase the patient’s heart burden, the past has been listed as a contraindication pneumoconiosis laparoscopy. With the development of minimally invasive surgery, the improvement of pneumoperitoneum laparoscopy and the accumulation of surgical experience, due to heart disease can not be laparoscopic surgery patients, the gradual transition to some patients with heart disease can be pneumoperitoneum laparoscopic surgery, and in the future Will face more and more heart disease patients underwent pneumoperitoneal laparoscopic surgery. At present, the progress of gynecological pneumoperitoneum laparoscopic surgery at home and abroad are summarized below.