Array ( [id] => 169 [catid] => 63 [title] => European guidelines on perioperative venous thromboembolism prophylaxis Cardiovascular and thoracic surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/169.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => In patients undergoing AAA repair, particularly when an open surgical approach is used, the risk of VTE is higher with a high bleeding risk. These patients should be considered as having a moderate risk. Patients with additional risk factors including BMI at least 30 kgm_x005f2, preoperative dyspnoea, chronic steroid usage, ruptured aneurysm, open surgery, operative duration at least 5 h, transfusion of at least 5 U, postoperative mechanical ventilation more than 48 h, postoperative complication (acute kidney injury, infection/sepsis) and re-operation, should be considered as moderate-to-high risk. In this context, we suggest the use of pharmacological prophylaxis as soon as satisfactory haemostasis is achieved（Evidence level:Low；Recommendation grade:Weak） [laiyuan] => 接受 AAA（腹主动脉瘤 ）修复术的患者，尤其是采用开放式手术方法的患者，发生 VTE 的风险较高，出血风险也较高。这些患者应被视为中度风险。具有其他风险因素（包括体重指数至少 30 kg/m2、术前呼吸困难、长期使用类固醇、动脉瘤破裂、开放手术、手术时间至少5小时、输血至少5U、术后机械通气超过48小时、术后并发症（急性肾损伤、感染/败血症）和再次手术）的患者应被视为具有中度至高度风险。在这种情况下，我们建议一旦止血效果令人满意，就立即使用药物预防措施。(证据质量：低；推荐强度：弱推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 170 [catid] => 63 [title] => European guidelines on perioperative venous thromboembolism prophylaxis Cardiovascular and thoracic surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/170.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => Patients undergoing peripheral vascular surgery are considered to have a low risk of VTE and low risk of bleeding. Stringent medical prophylaxis appears to reduce the event rate significantly. In this population, we suggest medical therapy.（Evidence level:Low；Recommendation grade:Weak） [laiyuan] => 接受外周血管手术的患者发生 VTE 的风险较低，出血风险也较低。严格的药物预防似乎可显著降低事件发生率。对于这类人群，我们建议采用药物治疗。(证据质量：低；推荐强度：弱推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 171 [catid] => 25 [title] => 加速康复外科中国专家共识暨路径管理指南（2018）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/171.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => http://120.26.162.1:5002/Paper/Search?type=&q=%E5%8A%A0%E9%80%9F%E5%BA%B7%E5%A4%8D%E5%A4%96%E7%A7%91%E4%B8%AD%E5%9B%BD%E4%B8%93%E5%AE%B6%E5%85%B1%E8%AF%86%E6%9A%A8%E8%B7%AF%E5%BE%84%E7%AE%A1%E7%90%86%E6%8C%87%E5%8D%97%EF%BC%882018%EF%BC%89%EF%BC%9A%20%E8%82%9D%E8%83%86%E6%89%8B%E6%9C%AF%E9%83%A8%E5%88%86&searchType=pt [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 病人术前应予手术和ERAS路径的全面宣教和疑难解答并贯穿其全部住院过程。(证据质量：低；推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 172 [catid] => 26 [title] => 加速康复外科中国专家共识暨路径管理指南（2019）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/172.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前常规行肺部并发症风险评估和呼吸功能锻炼。(证据质量：中；推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 173 [catid] => 26 [title] => 加速康复外科中国专家共识暨路径管理指南（2020）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/173.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前应行全面的营养风险筛查。 对于营养不良病人行营养支持治疗，首选肠内营养；多种方法评估病人肝功能状态并予保肝、抗病毒治疗，调节肝功能至可以耐受手术。(证据质量：高；推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 174 [catid] => 27 [title] => 加速康复外科中国专家共识暨路径管理指南（2021）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/174.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前常规预防性应用广谱抗生素；针对不同性质及不同程度的术后感染，采取个体化治疗措施。(证据质量：高，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 175 [catid] => 28 [title] => 加速康复外科中国专家共识暨路径管理指南（2022）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/175.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前禁食6h，禁饮2h，麻醉前2h可口服清流质。(证据质量：高，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 176 [catid] => 29 [title] => 加速康复外科中国专家共识暨路径管理指南（2023）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/176.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 麻醉方案的选择和实施遵循个体化原则，推荐全身麻醉下完成手术，使用无肝脏毒性、不经过 肝脏代谢的中短效麻醉药物，同时实施术中麻醉深 度和体温监测。(证据质量：中，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 177 [catid] => 31 [title] => 加速康复外科中国专家共识暨路径管理指南（2024）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/177.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在保证器官灌注基本正常的前提下实施 控制性低中心静脉压（CVP＜５cmH2O）技术，以减少术中出血。(证据质量：中，推荐强度：弱推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 178 [catid] => 31 [title] => 加速康复外科中国专家共识暨路径管理指南（2025）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/178.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 预计出血量多的肝切除术应用有创动脉压、中心静脉压及其他血流动力学监测以指导容量治疗及血管活性药物的个体化应用。 推荐肺保护性通气策略，不常规使用PEEP。(证据质量：中，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )