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肺癌加速康复外科体系的建立及优化.

With the development of key techniques and programs, the concept of enhanced recovery after surgery (ERAS) has been utilized in a wide range of diseases and surgical specialties. The key technological elements of enhanced lung recovery after surgery (ELRAS), which is regarded as the mainstay of mini...

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Published in:Chinese Journal of Lung Cancer Vol. 20; no. 12; pp. 795 - 800
Main Author: 车国卫
Format: research tables/charts Journal Article
Published: Chinese Journal of Lung Cancer 12/20/2017
Online Access:View this record in EBSCOhost
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      dt: 12/20/2017
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      pub: Chinese Journal of Lung Cancer
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        10.3779/j.issn.1009-3419.2017.12.01
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        atl: 肺癌加速康复外科体系的建立及优化.
      aug:
        au: 车国卫
        affil: 作者单位：610041 成都，四川大学华西医院胸外科
      sug:
        subj:
          Lung Neoplasms Surgery
          Lung Neoplasms Prognosis
          Airway Management
          Surgery, Lung Methods
          Multidisciplinary Care Team
          Minimally Invasive Procedures
          Human
      ab:
        With the development of key techniques and programs, the concept of enhanced recovery after surgery (ERAS) has been utilized in a wide range of diseases and surgical specialties. The key technological elements of enhanced lung recovery after surgery (ELRAS), which is regarded as the mainstay of minimally invasive lung cancer surgery, consist of the air-way management and the lung protection. A multidisciplinary team cooperation based on physicians, nurses and rehabilitative therapists is needed to achieve the goals of airway management and lung protection, thus establishing a comprehensive ELRAS system for lung cancer patients. Such ELRAS systems should meet the following demands: firstly, there are accurate and objective assessment models for each section in an ELRAS program; secondly, the ELRAS protocols should be made as simple and repeatable as possible; thirdly, there are rigorous evaluation systems for the clinical efficacy of an ELRAS program; finally, a question-oriented team should be constructed in an ELRAS program. In summary, the ELRAS system needs to be constantly optimized and improved in the clinical practices.
        加速康复外科（enhanced recovery after surgery, ERAS）理念应用于不同疾病及学科均有其相应的关键 技术及流程与体系。肺癌微创外科的核心是加速肺康复（enhanced lung recovery after surgery, ELRAS），而加速肺康复 的关键技术是气道管理和肺保护。气道管理和肺保护的实现需要医、护、康一体及多学科协作，从而形成肺癌患者 加速肺康复的完整体系。主要包括以下几方面：一是ELRAS方案实施的各个环节均有准确、客观的评估体系；二是 ELRAS方案简单、易行且具有可重复性；三是ERAS方案临床应用效果具有精准严谨评价体系；四是以问题为导向的 团队架构。总之，加速肺康复外科体系需要在临床实践中不断优化与完善。
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Chinese
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