术后胃肠功能障碍是继发于手术、创伤的一种胃肠道急性病理生理改变,以肠道粘膜受损、屏障功能破坏及胃肠道运动障碍为主要特征。近年来,加速康复外科在临床中不断应用,加快患者术后胃肠功能恢复也是加速康复外科的重要环节。术后胃肠...术后胃肠功能障碍是继发于手术、创伤的一种胃肠道急性病理生理改变,以肠道粘膜受损、屏障功能破坏及胃肠道运动障碍为主要特征。近年来,加速康复外科在临床中不断应用,加快患者术后胃肠功能恢复也是加速康复外科的重要环节。术后胃肠动力早期恢复将促进患者的全面康复,缩短患者住院时间,减少住院费用,提高医疗资源利用率,减少社会经济负担。Postoperative gastrointestinal dysfunction is a kind of acute pathophysiological changes of the gastrointestinal tract secondary to surgery and trauma, which is characterized by intestinal mucosal damage, barrier function destruction and gastrointestinal motility disorders. In recent years, enhanced recovery after surgery (ERAS) has been applied in clinical practice, and accelerating the recovery of gastrointestinal function after surgery is also an important part of ERAS. Early recovery of gastrointestinal motility after surgery will promote the comprehensive rehabilitation of patients, shorten the length of hospital stay, reduce hospitalization expenses, improve the utilization of medical resources, and reduce the social and economic burden.展开更多
急性肾损伤(Acute kidney injury, AKI)为腹腔镜根治术后常见并发症,患者会在短时间内出现肾功能急剧减退,从而引起水肿、水、电解质紊乱等症状,不仅影响术后恢复,还会增加死亡风险。和心血管的手术对比来说,腹腔镜下的手术术后发生AKI...急性肾损伤(Acute kidney injury, AKI)为腹腔镜根治术后常见并发症,患者会在短时间内出现肾功能急剧减退,从而引起水肿、水、电解质紊乱等症状,不仅影响术后恢复,还会增加死亡风险。和心血管的手术对比来说,腹腔镜下的手术术后发生AKI的机率并不算低,但是临床上对于术后AKI的研究其实并没有很多。因此,本文将综述腹腔镜手术后急性肾损伤(AKI)的诊断标准、临床定义及其相关危险因素,并探讨相关的治疗进展。Acute kidney injury (AKI) is a common complication after laparoscopic radical resection, in which patients experience rapid decline in renal function in a short period of time, resulting in symptoms such as edema, water and electrolyte imbalances, which not only affect postoperative recovery, but also increase the risk of death. Compared with cardiovascular surgery, the probability of AKI after laparoscopic surgery is not low, but there are not many clinical studies on postoperative AKI. Therefore, this article will review the diagnostic criteria, clinical definition, and associated risk factors for acute kidney injury (AKI) after laparoscopic surgery, and discuss related treatment advances.展开更多
文摘术后胃肠功能障碍是继发于手术、创伤的一种胃肠道急性病理生理改变,以肠道粘膜受损、屏障功能破坏及胃肠道运动障碍为主要特征。近年来,加速康复外科在临床中不断应用,加快患者术后胃肠功能恢复也是加速康复外科的重要环节。术后胃肠动力早期恢复将促进患者的全面康复,缩短患者住院时间,减少住院费用,提高医疗资源利用率,减少社会经济负担。Postoperative gastrointestinal dysfunction is a kind of acute pathophysiological changes of the gastrointestinal tract secondary to surgery and trauma, which is characterized by intestinal mucosal damage, barrier function destruction and gastrointestinal motility disorders. In recent years, enhanced recovery after surgery (ERAS) has been applied in clinical practice, and accelerating the recovery of gastrointestinal function after surgery is also an important part of ERAS. Early recovery of gastrointestinal motility after surgery will promote the comprehensive rehabilitation of patients, shorten the length of hospital stay, reduce hospitalization expenses, improve the utilization of medical resources, and reduce the social and economic burden.
文摘急性肾损伤(Acute kidney injury, AKI)为腹腔镜根治术后常见并发症,患者会在短时间内出现肾功能急剧减退,从而引起水肿、水、电解质紊乱等症状,不仅影响术后恢复,还会增加死亡风险。和心血管的手术对比来说,腹腔镜下的手术术后发生AKI的机率并不算低,但是临床上对于术后AKI的研究其实并没有很多。因此,本文将综述腹腔镜手术后急性肾损伤(AKI)的诊断标准、临床定义及其相关危险因素,并探讨相关的治疗进展。Acute kidney injury (AKI) is a common complication after laparoscopic radical resection, in which patients experience rapid decline in renal function in a short period of time, resulting in symptoms such as edema, water and electrolyte imbalances, which not only affect postoperative recovery, but also increase the risk of death. Compared with cardiovascular surgery, the probability of AKI after laparoscopic surgery is not low, but there are not many clinical studies on postoperative AKI. Therefore, this article will review the diagnostic criteria, clinical definition, and associated risk factors for acute kidney injury (AKI) after laparoscopic surgery, and discuss related treatment advances.
