妇科腹腔镜手术中人工气腹和特殊的体位 ,即头低臀高位 (T体位 )可使患者的呼吸功能和血流动力学等发生明显的改变。本文综合近年来的相关文献评述这些改变 ,以便术前、术中及术后对患者作出及时、正确的判断及处理 ,降低手术并发症。1　肺功能改变腹腔镜手术中气腹的腹内压及 Laparoscopic gynecology pneumoperitoneum pneumoperitoneum and special physical position, that is, low head and high hip (T position) can make the patient’s respiratory function and hemodynamic changes were significantly changed. This article reviews recent literature review of these changes, in order to make timely, correct judgment and treatment of patients before, during and after surgery to reduce surgical complications. Pulmonary function alters the intra-abdominal pressure of pneumoperitoneum during laparoscopic surgery