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胸外科手术的加速康复路径:上海经验

Enhanced recovery pathways in thoracic surgery: the Shanghai experience.

作者信息

Abu Akar Firas, Chen Zhigang, Yang Chenlu, Chen Jian, Jiang Lei

机构信息

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.

Department of Cardiothoracic Surgery, Shaare Zedek Medical Center (SZMC), Jerusalem, Israel.

出版信息

J Thorac Dis. 2018 Mar;10(Suppl 4):S578-S582. doi: 10.21037/jtd.2017.12.140.

Abstract

The attempts to implement the enhanced recovery (ER) program based on multiple specialties to minimize errors and complications in addition to speeding up the patient's treatment and recovery as much as possible. In China mainland, there is no unified hospital system and there are large differences between hospitals' results and protocols. The patient length of stay rate at the Shanghai Pulmonary Hospital (very high-volume referral hospital) is 7 days and may be considered a very good result compared to international rates. Perhaps thanks to these results may be due to our belief in the importance of minimally invasive approaches, and their positive effects on the patients and conduct as routinely as possible, in addition to starting to build our ER protocols. The patient should be involved in this program since his first visit to the clinic until the day he left the hospital after undergoing the operation.

摘要

基于多专业实施强化康复(ER)计划,旨在尽可能减少错误和并发症,同时加快患者的治疗和康复进程。在中国大陆,没有统一的医院系统,医院的结果和方案存在很大差异。上海肺科医院(高流量转诊医院)的患者住院天数为7天,与国际水平相比,这可能被视为非常好的结果。也许得益于这些结果,可能是由于我们相信微创方法的重要性,以及它们对患者的积极影响,并尽可能常规地开展,此外还开始制定我们的ER方案。患者应从首次就诊到术后出院当天都参与该计划。

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