从加速康复外科理念的临床应用谈胃肠道术后并发症防治

李幼生

中国实用外科杂志 ›› 2013, Vol. 33 ›› Issue (04) : 272-275.

PDF(430 KB)
PDF(430 KB)
中国实用外科杂志 ›› 2013, Vol. 33 ›› Issue (04) : 272-275.
专题笔谈

从加速康复外科理念的临床应用谈胃肠道术后并发症防治

  • 李幼生
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摘要

加速康复外科(fast track surgery,FTS)是指综合围手术期措施,减少手术创伤病人的应激反应、减少并发症、缩短住院时间及加速术后康复。尽管实施了FTS,但胃肠道手术并发症发生率仍然较高。为了评估FTS的效果,今后需要对手术并发症进行分级与标准化,同时需要发掘新的措施(如限制性液体治疗、有效镇痛等)在进一步降低术后并发症发生率中的作用。

Abstract

Clinical application of fast track surgery and prevention and treatment of postoperative complications of gastrointestinal surgery        LI You-sheng. Research Institute of General Surgery of PLA, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China
Abstract    Fast track surgery (FTS) is defined as a coordinated perioperative approach aimed at reducing surgical stress, reducing complications, decreasing hospital stay and facilitating postoperative recovery. However, the incidence of postoperative complications underwent gastrointestinal surgery is still higher. In the future, in order to evaluate the effect of FTS programs, the grading and standardization of surgical complications should been applied. The key factors of FTS components such as fluid restriction and effective epidural analgesia should been furtherly investigated to reduce the incidence of postoperative complication further.

关键词

加速康复外科 / 并发症 / 胃肠道手术

Key words

fast track surgery / complication / gastrointestinal surgery

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李幼生. 从加速康复外科理念的临床应用谈胃肠道术后并发症防治[J]. 中国实用外科杂志. 2013, 33(04): 272-275

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