Array
(
[id] => 687
[catid] => 38
[title] => 中国加速康复外科临床实践指南(2021)：(二) 肝胆外科手术部分
[thumb] =>
[keywords] =>
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[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] => 实施腹腔镜手术、术后当天进食及早期活动等均有助于病人快速康复。（证据等级：高；推荐强度：强推荐）
[znzldj] => C
[_inputtime] => 1704957204
[_updatetime] => 1704957204
[_nrjc] =>
[_nrsh] =>
)
推荐意见
实施腹腔镜手术、术后当天进食及早期活动等均有助于病人快速康复。（证据等级：高；推荐强度：强推荐）
证据评价方法：GRADE
指南质量等级：C
年份：2021
国家：中华医学会外科学分会；中华医学会麻醉学分会
Array
(
[id] => 688
[catid] => 32
[title] => 中国加速康复外科临床实践指南(2021)：(二) 肝胆外科手术部分
[thumb] =>
[keywords] =>
[description] =>
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[zjfj] =>
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[nianfen] => 2021
[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] => 围手术期应避免容量负荷过重，术后尽早恢复肠内营养，及时停用静脉补液。（证据等级：中；推荐强度：强推荐）
[znzldj] => C
[_inputtime] => 1704957204
[_updatetime] => 1704957204
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围手术期应避免容量负荷过重，术后尽早恢复肠内营养，及时停用静脉补液。（证据等级：中；推荐强度：强推荐）
证据评价方法：GRADE
指南质量等级：C
年份：2021
国家：中华医学会外科学分会；中华医学会麻醉学分会
Array
(
[id] => 689
[catid] => 27
[title] => 中国加速康复外科临床实践指南(2021)：(二) 肝胆外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/689.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:24
[updatetime] => 2024-01-11 15:13:24
[displayorder] => 0
[nrjc] => Array
(
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(
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[xzl] => 0
[dzl] => 0
[wailian] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[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] => 应遵循肝胆外科手术围手术期抗生素使用规范。对于术前胆管引流的病人，术中应常规留取胆汁行病原学培养，并针对性给予抗生素治疗。（证据等级：高；推荐强度：强推荐）
[znzldj] => C
[_inputtime] => 1704957204
[_updatetime] => 1704957204
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应遵循肝胆外科手术围手术期抗生素使用规范。对于术前胆管引流的病人，术中应常规留取胆汁行病原学培养，并针对性给予抗生素治疗。（证据等级：高；推荐强度：强推荐）
证据评价方法：GRADE
指南质量等级：C
年份：2021
国家：中华医学会外科学分会；中华医学会麻醉学分会
Array
(
[id] => 638
[catid] => 297
[title] => European guidelines on perioperative venousthromboembolism prophylaxis：Chronic treatments with antiplatelet agents
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
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[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
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[wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2018/02000/european_guidelines_on_perioperative_venous.12.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2017
[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => In patients receiving APA chronically, we recommend thromboprophylaxis in cases of moderate/high VTE risk, whilst assessing the risk of perioperative bleeding. (1B)
[laiyuan] => 对于长期接受抗血小板药物（APA）治疗的患者，我们建议在中/高度静脉血栓栓塞症（VTE）风险的情况下采取血栓预防措施，同时评估围术期出血的风险。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于长期接受抗血小板药物（APA）治疗的患者，我们建议在中/高度静脉血栓栓塞症（VTE）风险的情况下采取血栓预防措施，同时评估围术期出血的风险。（证据级别：中；推荐强度：强推荐）
In patients receiving APA chronically, we recommend thromboprophylaxis in cases of moderate/high VTE risk, whilst assessing the risk of perioperative bleeding. (1B)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
Array
(
[id] => 639
[catid] => 297
[title] => European guidelines on perioperative venousthromboembolism prophylaxis：Chronic treatments with antiplatelet agents
[thumb] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2017
[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => In patients receiving APA chronically, if the risk of VTE outweighs the risk of bleeding, we suggest pharmacological (anticoagulant) prophylaxis (LMWH,direct oral anticoagulants, fondaparinux depending on the indication) . (1C)
[laiyuan] => 对于长期接受抗血小板药物（APA）治疗的患者，如果静脉血栓栓塞症（VTE）风险大于出血风险，我们建议采取药物（抗凝剂）预防（低分子肝素、直接口服抗凝剂、视适应症而用磺达肝癸）。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于长期接受抗血小板药物（APA）治疗的患者，如果静脉血栓栓塞症（VTE）风险大于出血风险，我们建议采取药物（抗凝剂）预防（低分子肝素、直接口服抗凝剂、视适应症而用磺达肝癸）。（证据级别：低；推荐强度：弱推荐）
In patients receiving APA chronically, if the risk of VTE outweighs the risk of bleeding, we suggest pharmacological (anticoagulant) prophylaxis (LMWH,direct oral anticoagulants, fondaparinux depending on the indication) . (1C)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
Array
(
[id] => 640
[catid] => 297
[title] => European guidelines on perioperative venousthromboembolism prophylaxis：Chronic treatments with antiplatelet agents
[thumb] =>
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[tjqd] =>
[nianfen] => 2017
[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => In patients treated with dual antiplatelet therapy (recent coronary stent implantation) undergoing a procedure associated with a high risk of VTE, we suggest resuming APA shortly after the procedure, prioritising over pharmacological VTE prevention. (2C)
[laiyuan] => 对于接受双联抗血小板疗法（近期行冠状动脉支架植入术）的患者，在接受与静脉血栓栓塞症（VTE）相关的高风险手术时，我们建议在手术后不久恢复抗血小板药物（APA）治疗，优先使用药物预防VTE。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于接受双联抗血小板疗法（近期行冠状动脉支架植入术）的患者，在接受与静脉血栓栓塞症（VTE）相关的高风险手术时，我们建议在手术后不久恢复抗血小板药物（APA）治疗，优先使用药物预防VTE。（证据级别：低；推荐强度：弱推荐）
In patients treated with dual antiplatelet therapy (recent coronary stent implantation) undergoing a procedure associated with a high risk of VTE, we suggest resuming APA shortly after the procedure, prioritising over pharmacological VTE prevention. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
Array
(
[id] => 641
[catid] => 297
[title] => European guidelines on perioperative venousthromboembolism prophylaxis：Chronic treatments with antiplatelet agents
[thumb] =>
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[zjfj] =>
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[nianfen] => 2017
[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => If an anticoagulant is associated with an APA, we suggest the administration of the lowest approved dose. (2C)
[laiyuan] => 如果抗凝剂与抗血小板药物（APA）联用，建议使用最低批准剂量。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果抗凝剂与抗血小板药物（APA）联用，建议使用最低批准剂量。（证据级别：低；推荐强度：弱推荐）
If an anticoagulant is associated with an APA, we suggest the administration of the lowest approved dose. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
Array
(
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[catid] => 297
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[zjfj] =>
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[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => If the risk of bleeding of a combination of an APA and an anticoagulant outweighs the risk of VTE, we suggest considering intermittent pneumatic compression over anticoagulant prophylaxis, without disconti nuing the APA. (2C)
[laiyuan] => 如果联合使用抗血小板药物（APA）和抗凝剂的出血风险大于静脉血栓栓塞症（VTE）风险，我们建议考虑间歇性气压治疗，而不是抗凝剂预防，同时不停用APA。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果联合使用抗血小板药物（APA）和抗凝剂的出血风险大于静脉血栓栓塞症（VTE）风险，我们建议考虑间歇性气压治疗，而不是抗凝剂预防，同时不停用APA。（证据级别：低；推荐强度：弱推荐）
If the risk of bleeding of a combination of an APA and an anticoagulant outweighs the risk of VTE, we suggest considering intermittent pneumatic compression over anticoagulant prophylaxis, without disconti nuing the APA. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
Array
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[catid] => 297
[title] => European guidelines on perioperative venousthromboembolism prophylaxis：Chronic treatments with antiplatelet agents
[thumb] =>
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[nrjc] => Array
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[xzl] => 0
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[zjfj] =>
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[nianfen] => 2017
[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients in whom neuraxial anaesthesia is planned, although the administration of aspirin alone does not increase the incidence of spinal haematoma, a higher rate of complications could appear if pharmacological thromboprophylaxis is administered concurrently. In these cases, postoperative thromboprophylaxis initia tion should be suggested. (2C)
[laiyuan] => 计划进行椎管内麻醉的患者，虽然单独服用阿司匹林不会增加脊髓血肿的发生率，但如果同时服用药物预防血栓形成，并发症的发生率可能会更高。在这种情况下，应建议术后开始进行血栓预防。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
计划进行椎管内麻醉的患者，虽然单独服用阿司匹林不会增加脊髓血肿的发生率，但如果同时服用药物预防血栓形成，并发症的发生率可能会更高。在这种情况下，应建议术后开始进行血栓预防。（证据级别：低；推荐强度：弱推荐）
Patients in whom neuraxial anaesthesia is planned, although the administration of aspirin alone does not increase the incidence of spinal haematoma, a higher rate of complications could appear if pharmacological thromboprophylaxis is administered concurrently. In these cases, postoperative thromboprophylaxis initia tion should be suggested. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
Array
(
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[catid] => 297
[title] => European guidelines on perioperative venousthromboembolism prophylaxis：Chronic treatments with antiplatelet agents
[thumb] =>
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[inputtime] => 2024-01-11 15:13:23
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[wailian] =>
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2017
[guojia] => European Society of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => After surgery, the first dose of aspirin should be given as soon as possible, once haemostasis is considered adequate. (2B)
[laiyuan] => 术后评估止血充分的话，应尽快服用第一剂阿司匹林（一般来说，术后第二天）。（证据级别：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957203
[_updatetime] => 1704957203
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术后评估止血充分的话，应尽快服用第一剂阿司匹林（一般来说，术后第二天）。（证据级别：中；推荐强度：弱推荐）
After surgery, the first dose of aspirin should be given as soon as possible, once haemostasis is considered adequate. (2B)
证据评价方法：GRADE
指南质量等级：B
年份：2017
国家：European Society of Anaesthesiology
