关键词: 加速康复外科, 围手术期, 液体治疗

Abstract:

Enhanced recovery after surgery in perioperative fluid management        YU Wen-kui，LI Ning. Nanjing General Hospital of Nanjing Military Command of PLA，Nanjing 210002，China
Corresponding author：LI Ning，E-mail：liningnju@163.com
Abstract    Enhanced recovery after surgery (ERAS) is a new concept of surgical treatment in the 21st century，which recently，has been widely applied and gained good effect. ERAS is defined as a series of optimized perioperative management to reduce the stress of patients，decrease the incidence of complications and mortality，and achieve rapid recovery. Perioperative fluid management is a important component of ERAS，which is throughout the perioperative period，with a great impact on patients’ outcome. In preoperative time，patients should avoid dehydration，shorten the time of fasting and orally administrate carbohydrate. During operation，when maintaining circulating volume，avoiding edema should also be noticed. The amount of fluid infusion should be based on the loss of fluid and the hemodynamic indexes monitored. In postoperative time，patients should be encouraged early orally feeding and stopping intravenous infusion as soon as possible，preventing disturbance of water and electrolyte and tightly controlling the level of serum glucose.

Key words: enhanced recovery after surgery；perioperative , period；fluid management