中国实用外科杂志2017，Vol.37Issue(4)：342-344,3.DOI:10.19538/j.cjps.issn1005-2208.2017.04.04
加速康复外科理念指导下的围手术期液体治疗
Enhanced recovery after surgery in perioperative fluid management
虞文魁 1李宁1
作者信息
- 1. 中国人民解放军南京总医院,江苏南京210002
- 折叠
摘要
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.关键词
加速康复外科/围手术期/液体治疗Key words
enhanced recovery after surgery/perioperative period/fluid management分类
医药卫生引用本文复制引用
虞文魁,李宁..加速康复外科理念指导下的围手术期液体治疗[J].中国实用外科杂志,2017,37(4):342-344,3.
