Array ( [id] => 839 [catid] => 29 [title] => 加速康复外科中国专家共识暨路径管理指南（2023）：胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/839.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:14 [updatetime] => 2024-01-11 15:14:14 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 胰腺手术应常规在全身麻醉下完成，开放的胰腺手术可联合硬膜外阻滞，术中应加强血流动力学监测，术后注意防治硬膜外镇痛的相关并发症。（证据级别：高；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957254 [_updatetime] => 1704957254 [_nrjc] => [_nrsh] => )

Array ( [id] => 840 [catid] => 32 [title] => 加速康复外科中国专家共识暨路径管理指南（2024）：胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/840.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:14 [updatetime] => 2024-01-11 15:14:14 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 采用目标导向液体治疗，避免术中容量负荷过重（证据级别：高；推荐强度：强推荐）；平衡盐溶液优于生理盐水（证据级别：中；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957254 [_updatetime] => 1704957254 [_nrjc] => [_nrsh] => )

Array ( [id] => 797 [catid] => 25 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/797.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9154207/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => The patient and a relative or care giver should receive preoperative education in oral, written and or pictorial format . (1B) [laiyuan] => 患者及其亲属或护理人员应接受口头、书面或图片形式的术前教育。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 798 [catid] => 26 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/798.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => In addition to clinical cardiorespiratory assessment, patients should be screened for smoking, alcohol usage, hypertension, diabetes and anemia and have a nutritional assessment, preoperative HIV testing in countries with A HIV/AIDS prevalence and delirium screening. (1A) [laiyuan] => 除临床心肺功能评估外，还应对患者进行吸烟、饮酒、高血压、糖尿病和贫血筛查，并进行营养评估，在艾滋病毒/艾滋病高发国家进行术前艾滋病毒检测，以及谵妄筛查。（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 799 [catid] => 266 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/799.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => No routine bowel preparation for patients undergoing elective colonic or gynecologic surgery. (1A) [laiyuan] => 接受结肠或妇科择期手术的患者无需进行常规肠道准备（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 800 [catid] => 28 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/800.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Oral intake of clear fluids up to 2 h and a light meal up to six hours before induction. After a full meal (including meat, fatty and fried foods) 8 or more hours may be required. (1A) [laiyuan] => 麻醉诱导前2小时饮清水，6小时前进食清淡食物。饱餐后（包括肉类、脂肪和油炸食品）可能需要禁食8小时或更长时间。（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 801 [catid] => 28 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/801.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => A complex carbohydrate drink, 400 ml with 50 g CHO (12 g/100 ml), osmolality of\300 mOsm/kg, should be given 2 h before surgery for elective patients. (1B) [laiyuan] => 择期手术患者应在手术前 2 小时饮用400毫升含50克CHO（12g/100ml）、渗透压为300 mOsm/kg的复合碳水化合物饮料。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 802 [catid] => 27 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/802.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Avoid routine use of premedication. Consider a short-acting anxiolytic in patients with severe anxiety. (1C) [laiyuan] => 避免常规使用预处理药物。对于严重焦虑的患者，可考虑使用短效抗焦虑药。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 803 [catid] => 27 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/803.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => A first-generation cephalosporin is recommended. Antibiotics should be administered within 1 h of incision. Antibiotic prophylaxis is not recommended in the postoperative period. (1A) [laiyuan] => 建议使用第一代头孢菌素，抗生素应在切皮后1小时内使用，术后不建议使用抗生素预防。（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )

Array ( [id] => 804 [catid] => 37 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/804.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => All patients should have a risk assessment for PONV. A-risk patients should receive 2–3 antiemetics. Continue postoperatively as required. (1A) [laiyuan] => 所有患者都应接受术后恶心呕吐风险评估。高风险患者应接受2-3次止吐药治疗。术后根据需要继续服用。（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )