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肥胖症手术的围手术期护理

Perioperative Care for Bariatric Surgery.

作者信息

Rudiman Reno, Hanafi Ricarhdo Valentino

机构信息

Division on Digestive Surgery, Department of General Surgery, School of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung 40161, Indonesia.

Department of General Surgery, School of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung 40161, Indonesia.

出版信息

Diagnostics (Basel). 2024 Sep 23;14(18):2095. doi: 10.3390/diagnostics14182095.

Abstract

This review will start with a brief pathophysiology of obesity and the requirement for bariatric surgery, and it continues with a preoperative assessment, which includes a surgical mortality risk assessment, respiratory and cardiovascular assessments, and a psychological assessment. In-hospital postoperative care will be discussed, including which patients need a surgical intensive care unit and the monitoring tools required. The need for postoperative medications, postoperative complications, strategies for management, and a follow-up plan are also reviewed. This manuscript is written in a narrative review form with a chance of bias as a possible limitation.

摘要

本综述将首先简要介绍肥胖的病理生理学以及减肥手术的必要性,接着阐述术前评估,其中包括手术死亡风险评估、呼吸和心血管评估以及心理评估。还将讨论术后住院护理,包括哪些患者需要入住外科重症监护病房以及所需的监测工具。此外,还会回顾术后用药需求、术后并发症、管理策略以及随访计划。本手稿采用叙述性综述形式撰写,可能存在偏倚这一潜在局限性。

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