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加速肺康复外科临床实践及证据
引用本文:车国卫.加速肺康复外科临床实践及证据[J].中国肺癌杂志,2017(6):371-375.
作者姓名:车国卫
作者单位:四川大学华西医院胸外科, 成都,610041
基金项目:四川省科技厅基金项目(No.2015SZ0158)资助This paper was supported by the grant from the Science and Technology Department of Sichuan Province (to Guowei CHE)(2015SZ0158)
摘    要:加速康复外科(enhanced recovery after surgery,ERAS)方案临床应用的多样性,取决于病种和团队而不同.肺术后都有哪些证据有利于加速肺康复(enhanced lung recovery after surgery,ELRAS)的临床实践呢?本文主要从围手术期可采用的措施及方法进行回顾性分析:术前强调教育及高危因素的评估及预防,术中微创手术及流程优化,术后关注以疼痛为主的症状管理.

关 键 词:加速康复外科  加速肺康复  肺外科

Evidence and Practice of Enhanced Lung Recovery after Surgery in Patients Undergoing Lung Surgery
Abstract:The clinic application pathway is a variant of the enhanced recovery after surgery (ERAS), which based disease and team. What are the published evidence is conducive to enhanced lung recovery after surgery (ELRAS) in clinical implementation. This article mainly from the perioperative management can adopt the measures and methods were retrospec-tively analyzed. The measures of education and assessment of the risk factors and prevention is emphasized in preoperative. The minimally invasive surgery and process optimization is adopted by surgeon. Postoperative focus on symptom management, such as pain is the first attention.
Keywords:Enhanced recovery after surgery  Enhanced lung recovery after surgery  Lung surgery
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