加速康复外科可能成为创伤救治的新模式(1)
[摘要] 加速康复外科(FTS)在结直肠及其他外科手术中的应用,已被证明可显著加速术后康复进程,降低并发症的发生率,缩短术后住院时间,因而被认为是一种可能彻底改变目前外科诊疗模式的最新外科原则。但FTS当前的应用主要集中在择期结直肠手术中,尚未将其推广应用到急诊、严重创伤和感染等急危重症中。本文结合文献和作者研究,从应用机理、意义及方案等方面论述了FTS可望拓展创伤救治理论,树立创伤救治新模式和新标准的可能性。[关键词] 加速康复外科;创伤;救治;模式
[中图分类号] R61 [文献标识码] A [文章编号] 1673-7210(2012)02(c)-0005-03
Fast-track surgery shall be the new mode for the trauma remedy
CHENG Liyang
Department of General Surgery, General Hospital of Guangzhou Military Command, Guangdong Province, Guangzhou 510010, China
[Abstract] Fast-track surgery (FTS) has been proved to be associated with a faster recovery, lower complication rates and a shorter stay in hospital for colorectal and other surgery which considered as a new principle to thoroughly change present surgical diagnose and treatment mode. But FTS is now mainly used in single, typical and elective surgery without severe malnutrition and organ dysfunction except for emergency, critical trauma and infection. Combining the literature and our research, the mechanism, significance and program for the application of FTS in trauma remedy are introduced in this article, as to discuss that FTS should be hoped to expand the theory and to become the new mode and standard of trauma remedy. ......
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