国际麻醉学与复苏杂志   2017, Issue (5): 4-4
    
加速胸外科手术康复的策略及研究进展
李义红, 李文志1()
1.哈尔滨医科大学附属第二医院
The strategy and research progress of accelerating rehabilitation of thoracic surgery
 全文:
摘要:

背景 随着医学技术的不断发展,对于胸科手术的关注点逐渐从治疗层面转变为整体康复层面,手术方式也从开胸手术逐渐转变为微创胸腔镜手术。 目的 回顾关于加速胸科手术患者康复的相关干预措施,探讨未来胸科手术加速康复的研究方向。 内容 围手术期麻醉管理在加速康复中起着至关重要的作用,包括术前改善肺功能、术中减轻肺损伤到降低术后并发症等方面。 趋向 近年来以减轻围手术期肺损伤为代表的越来越多的综合性加速康复措施应用于临床,促进了胸科手术患者的康复。

关键词: 加速康复; 单肺通气; 肺保护策略; 术后并发症
Abstract:

Background With the continuous development of medical technology, the focus of thoracic surgery gradually changed from the treatment level to the overall level of rehabilitation. The focus of surgical approach changed from thoracotomy gradually changed to minimally invasive thoracoscopic surgery. Objective This article reviews the relevant interventions to accelerate the rehabilitation of patients undergoing thoracic surgery and discusses the future direction of accelerated rehabilitation in thoracic surgery. Content Perioperative anesthesia management plays an important role in accelerating recovery, including preoperative improvement of lung function, reducing intraoperative lung injury in operation to reduce postoperative complications and so on. Trend In recent years, more and more comprehensive accelerated rehabilitation measures applied to clinical treatment to reduce perioperative lung injury. These measures promoted rehabilitation of patients with thoracic surgery.

Key words: Accelerate recovery; One lung ventilation; Lung protection strategy; Postoperative complications