首页
数据库
关于我们
联系我们
您当前的位置： 首页 > 数据库
所属年份
2008 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026
到
2008 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026
检索 清除
手术分类
  • 全部（2447）
  • 腹部手术（342）
  • 胸科手术（70）
  • 血管手术（5）
  • 心脏手术（97）
  • 神经外科（4）
  • 头颈部（35）
  • 骨科（78）
  • 泌尿外科（0）
  • 妇产手术（77）
  • 日间手术（26）
  • 手术室外（28）
  • 创伤和烧伤（0）
  • 非心脏手术（472）
  • 老年（0）
  • 小儿新生儿（189）
  • 特殊患者（42）
  • 未说明手术类型（982）
阶段管理
  • 术前宣教（21）
  • 术前评估（33）
  • 术前用药（15）
  • 术前禁食水（12）
  • 麻醉选择（21）
  • 麻醉用药（10）
  • 术中监测（23）
  • 液体管理（14）
  • 血液保护（3）
  • 体温管理（8）
  • 术后疼痛（62）
  • POD（8）
  • PONV（10）
  • 术后康复（50）
  • 特殊情况（43）
  • 术前肠道准备（9）
排序：
发表时间 阅读量
Array ( [id] => 1405 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1405.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Infusion of colloids in patients with severe bleeding can aggravate dilutional coagulopathy by additional effects on fibrin polymerisation and platelet aggregation. （Evidence level: low） [laiyuan] => 严重出血患者输注胶体会对纤维蛋白聚合和血小板聚集产生额外影响，从而加重稀释性凝血病。（证据级别：低） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
严重出血患者输注胶体会对纤维蛋白聚合和血小板聚集产生额外影响，从而加重稀释性凝血病。（证据级别：低）

Infusion of colloids in patients with severe bleeding can aggravate dilutional coagulopathy by additional effects on fibrin polymerisation and platelet aggregation. （Evidence level: low）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1406 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1406.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We suggest the use of balanced solutions for crystalloids and as a basic solute for iso-oncotic preparations. （Evidence level: low；Recommendation grade:weak） [laiyuan] => 我们建议将平衡溶液用于晶体液，并将其作为等溶剂的基本溶质（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议将平衡溶液用于晶体液，并将其作为等溶剂的基本溶质（证据级别：低；推荐强度：弱推荐）

We suggest the use of balanced solutions for crystalloids and as a basic solute for iso-oncotic preparations. （Evidence level: low；Recommendation grade:weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1407 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1407.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In the early treatment phase of uncontrolled massive elective surgery bleeding, we suggest massive transfusion (≥6 to 10 units) with a high ratio (≥1 : 1) of plasma to RBCs.（Evidence level: low；Recommendation grade: weak） [laiyuan] => 在不受控制的大量择期手术出血的早期治疗阶段，我们建议大量输血(≥6-10单位)，血浆与红细胞的比例要高(≥1:1)。（证据级别：低；推荐强度：低推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
在不受控制的大量择期手术出血的早期治疗阶段，我们建议大量输血(≥6-10单位)，血浆与红细胞的比例要高(≥1:1)。（证据级别：低；推荐强度：低推荐）

In the early treatment phase of uncontrolled massive elective surgery bleeding, we suggest massive transfusion (≥6 to 10 units) with a high ratio (≥1 : 1) of plasma to RBCs.（Evidence level: low；Recommendation grade: weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1408 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1408.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend switching to a goal-directed transfusion strategy (based on Hb and/or physiological RBC transfusion triggers, coagulation factor substitution and platelet transfusion triggers) as soon as possible.（Evidence level: low；Recommendation grade: strong） [laiyuan] => 我们建议尽快切换到目标导向输血策略（基于血红蛋白和/或生理性红细胞输血触发、凝血因子替代和血小板输血触发）。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议尽快切换到目标导向输血策略（基于血红蛋白和/或生理性红细胞输血触发、凝血因子替代和血小板输血触发）。（证据级别：低；推荐强度：强推荐）

We recommend switching to a goal-directed transfusion strategy (based on Hb and/or physiological RBC transfusion triggers, coagulation factor substitution and platelet transfusion triggers) as soon as possible.（Evidence level: low；Recommendation grade: strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1352 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1352.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Beta-blockers, variceal band ligation (VBL), sclerotherapy and beta-blockers plus nitrates are recommended as primary prophylaxis for bleeding in cirrhotic patients with high-risk oesophageal varices.（Evidence level: low；Recommendation grade:strong） [laiyuan] => β受体阻滞剂、静脉曲张套扎术(VBL)、硬化剂治疗和β受体阻滞剂联合硝酸酯类药物被推荐作为高危食管静脉曲张的肝硬化患者出血的一级预防。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
β受体阻滞剂、静脉曲张套扎术(VBL)、硬化剂治疗和β受体阻滞剂联合硝酸酯类药物被推荐作为高危食管静脉曲张的肝硬化患者出血的一级预防。（证据级别：低；推荐强度：强推荐）

Beta-blockers, variceal band ligation (VBL), sclerotherapy and beta-blockers plus nitrates are recommended as primary prophylaxis for bleeding in cirrhotic patients with high-risk oesophageal varices.（Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1353 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1353.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend that acute variceal bleeding (AVB) should be managed by a multidisciplinary team; a specific multimodal protocol for upper gastrointestinal haemorrhage should be available.（Evidence level: low；Recommendation grade:strong） [laiyuan] => 建议急性静脉曲张出血(AVB)应由多学科团队管理;应制定针对上消化道出血的具体多模式方案。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
建议急性静脉曲张出血(AVB)应由多学科团队管理;应制定针对上消化道出血的具体多模式方案。（证据级别：低；推荐强度：强推荐）

We recommend that acute variceal bleeding (AVB) should be managed by a multidisciplinary team; a specific multimodal protocol for upper gastrointestinal haemorrhage should be available.（Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1354 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1354.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend early interventional endoscopy together with vasoactive medication producing splanchnic vasoconstriction (somatostatin, terlipressin or octreotide) in AVB. （Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 我们建议AVB患者早期行介入内镜检查，同时使用可引起内脏血管收缩的血管活性药物(生长抑素、特利加压素或奥曲肽)。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
我们建议AVB患者早期行介入内镜检查，同时使用可引起内脏血管收缩的血管活性药物(生长抑素、特利加压素或奥曲肽)。（证据级别：中；推荐强度：强推荐）

We recommend early interventional endoscopy together with vasoactive medication producing splanchnic vasoconstriction (somatostatin, terlipressin or octreotide) in AVB. （Evidence level: moderate；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1355 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1355.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => A restrictive transfusion policy aiming for a Hb level of 7 to 8 g/dl is recommended in haemodynamically stable patients with upper gastrointestinal bleeding.（Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 在血液动力学稳定的上消化道出血患者中，推荐限制性输血政策，目标是Hb水平为7至8 g/dl。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
在血液动力学稳定的上消化道出血患者中，推荐限制性输血政策，目标是Hb水平为7至8 g/dl。（证据级别：中；推荐强度：强推荐）

A restrictive transfusion policy aiming for a Hb level of 7 to 8 g/dl is recommended in haemodynamically stable patients with upper gastrointestinal bleeding.（Evidence level: moderate；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1356 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1356.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend against the systemic administration of TXA for the treatment of gastrointestinal bleeding. （Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 我们不建议全身给药氨甲环酸治疗胃肠道出血。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
我们不建议全身给药氨甲环酸治疗胃肠道出血。（证据级别：中；推荐强度：强推荐）

We recommend against the systemic administration of TXA for the treatment of gastrointestinal bleeding. （Evidence level: moderate；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1357 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1357.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In nonvariceal upper gastrointestinal bleeding because of peptic ulcer, endoscopic therapy combined with highdose proton pump inhibitors is recommended. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 对于消化性溃疡引起的非静脉曲张性上消化道出血，推荐内镜下联合大剂量质子泵抑制剂治疗。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
对于消化性溃疡引起的非静脉曲张性上消化道出血，推荐内镜下联合大剂量质子泵抑制剂治疗。（证据级别：低；推荐强度：强推荐）

In nonvariceal upper gastrointestinal bleeding because of peptic ulcer, endoscopic therapy combined with highdose proton pump inhibitors is recommended. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读

地址：甘肃省兰州市七里河区瓜州路418号

邮编：730050

电话：0931-2687109

商务合作热线：0931-2687106

备案号：陇ICP备17005383号-1 联网备案号：62010302000288

技术支持：瑞秀科技