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加速康复外科方案对肝移植术后恢复的影响

Effect of ERAS on postoperative recovery of liver transplantation

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【作者】 赵淑青刘崇忠朱健康刘凤悦王亚栋朱民刘考

【Author】 ZHAO Shu-qing;LIU Chong-zhong;ZHU Jian-kang;LIU Feng-yue;WANG Ya-dong;ZHU Min;LIU Kao;Department of Organ Transplant, Qilu Hospital of Shandong University;

【通讯作者】 刘考;

【机构】 山东大学齐鲁医院器官移植科

【摘要】 目的:探讨加速康复理念在肝移植患者围手术期间的应用。方法:回顾性收集山东大学齐鲁医院2018年1—5月围手术期实施ERAS方案的7例肝移植患者资料并进行分析。结果:7例肝移植患者顺利实施ERAS方案,所有患者术后即刻拔除气管插管,1例患者发生肺水肿,余患者无并发症发生,7例患者均顺利出院,术后平均住院时间15 d,未出现非计划再手术及30 d内再入院患者。结论:在肝移植患者中实施ERAS措施安全可行,值得临床应用推广。

【Abstract】 Objective: To explore the application of Enhanced recovery after surgery(ERAS) in perioperative period of liver transplantation patients. Methods: The clinical data of 7 cases undergoing liver transplantation from January 2018 to May 2018 in our hospital were retrospectively analyzed,the ERAS scheme was implemented in all patients during the perioperative period. Results: ERAS program was implemented in 7 cases successfully, trachea intubation were removed immediately after operation and no reintubation taken place, no other complications occurred except 1 patients with pulmonary edema, all patients were discharged smoothly, the average postoperative hospital time was 15 days, no unplanned reoperation and 30 days rehospitalization cases. Conclusion:ERAS is safe and feasible in patients undergoing liver transplantation.

【关键词】 加速康复外科肝移植围手术期
【Key words】 ERASLiver transplantationPerioperative period
  • 【文献出处】 中国现代普通外科进展 ,Chinese Journal of Current Advances in General Surgery , 编辑部邮箱 ,2018年09期
  • 【分类号】R657.3
  • 【被引频次】5
  • 【下载频次】164
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