加速康复外科理念在脑积水儿童脑室–腹腔分流术围手术期的应用前景
Application Prospect of Enhanced Recovery after Surgery in Perioperative Period of Ventriculoperitoneal Shunt in Children with Hydrocephalus
DOI: 10.12677/ACM.2024.142383, PDF,   
作者: 杨茜涵：新疆医科大学儿科学院，新疆 乌鲁木齐；吉文玉*：新疆医科大学第一附属医院小儿神经外科，新疆 乌鲁木齐
关键词: 加速康复外科；神经外科；儿童；脑积水；Enhanced Recovery after Surgery； Neurosurgery； Children； Hydrocephalus
摘要: 在我国，加速康复外科(Enhanced Recovery after Surgery, ERAS)理念已有十年以上的历史。目前，ERAS理念广泛应用于普通外科、骨科、心胸外科、泌尿外科及妇科等领域，并取得了令人满意的成果。然而，由于神经外科手术的复杂性以及小儿生理结构的特殊性，ERAS在神经外科的应用尚不成熟，而在小儿神经外科更是寥寥无几。然而，儿童对于手术的耐受性远不如成人，因此减轻手术对患儿的刺激是外科治疗中至关重要的一环。本文的重点将放在小儿神经外科，主要涉及常见疾病如脑积水患儿的围手术期肠道管理及气道管理两个方面。通过对现有文献的回顾，我们将探讨ERAS理念在这一特殊人群中的应用前景。
Abstract: In China, the concept of Enhanced Recovery after Surgery (ERAS) has a history of more than ten years. At present, the concept of ERAS has been widely used in general surgery, orthopedics, cardi-othoracic surgery, urology and gynecology, and satisfactory results have been achieved. However, due to the complexity of neurosurgery and the particularity of pediatric physiological structure, the application of ERAS in neurosurgery is not mature, and there are few cases in pediatric neurosur-gery. However, children are much less tolerant to surgery than adults, so reducing the stimulation of surgery is a crucial part of the surgical treatment. This article will focus on pediatric neurosur-gery, mainly involving two aspects of perioperative intestinal management and airway manage-ment in children with common diseases such as hydrocephalus. Through a review of the existing literature, we will explore the application prospects of the ERAS concept in this special population.
文章引用：杨茜涵, 吉文玉. 加速康复外科理念在脑积水儿童脑室–腹腔分流术围手术期的应用前景[J]. 临床医学进展, 2024, 14(2): 2722-2727. https://doi.org/10.12677/ACM.2024.142383

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