加速康复外科与围手术期液体治疗

被引:17
作者
李民
李幼生
李宁
黎介寿
机构
[1] 南京军区南京总医院解放军普通外科研究所
关键词
加速康复外科; 围手术期; 病理生理; 限制性补液; 液体; 治疗;
D O I
暂无
中图分类号
R605 [外科治疗学];
学科分类号
1002 ; 100210 ;
摘要
<正>加速康复外科(fast-track surgery,FT)理念最早由丹麦外科医生Kehlet提出。加速康复外科即在外科领域联合应用一些新的措施,降低术后死亡率及并发症的发生率、减少住院时间及住院费用,加速术后患者的康复。其主要内容包括尽量减少手术损伤、硬膜外麻醉/局部麻醉、术后疼痛的控制、早期下床活动以及早期口服饮食等。Jakobsen研究表明:比较160例结肠切除术或Hartmann手术患者,使用加速康复方法的患者住院日由以前的7.5 d降至3.4 d,而患者的再入院率及并发症的发生率无明显增加。
引用
收藏
页码:4 / 6
页数:3
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