Array ( [id] => 176 [catid] => 29 [title] => 加速康复外科中国专家共识暨路径管理指南（2023）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/176.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 麻醉方案的选择和实施遵循个体化原则，推荐全身麻醉下完成手术，使用无肝脏毒性、不经过 肝脏代谢的中短效麻醉药物，同时实施术中麻醉深 度和体温监测。(证据质量：中，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 177 [catid] => 31 [title] => 加速康复外科中国专家共识暨路径管理指南（2024）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/177.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在保证器官灌注基本正常的前提下实施 控制性低中心静脉压（CVP＜５cmH2O）技术，以减少术中出血。(证据质量：中，推荐强度：弱推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 178 [catid] => 31 [title] => 加速康复外科中国专家共识暨路径管理指南（2025）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/178.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 预计出血量多的肝切除术应用有创动脉压、中心静脉压及其他血流动力学监测以指导容量治疗及血管活性药物的个体化应用。 推荐肺保护性通气策略，不常规使用PEEP。(证据质量：中，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 179 [catid] => 32 [title] => 加速康复外科中国专家共识暨路径管理指南（2026）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/179.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 应用目标导向液体治疗策略，避免容量负荷过重。(证据质量：中，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 180 [catid] => 35 [title] => 加速康复外科中国专家共识暨路径管理指南（2027）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/180.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 实施多模式的个体化镇痛方案。 非甾体抗炎药和/或阿片类药物联合周围神经阻滞或切口浸润麻 醉是肝切除术病人术后镇痛的有效方法。(证据质量：中，推荐强度：强) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 181 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南（2028）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/181.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术后第1天可下床活动。 术后当天可饮水，术后12h可予流质饮食。(证据质量：高，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 182 [catid] => 39 [title] => 加速康复外科中国专家共识暨路径管理指南（2029）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/182.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 减少创伤、出血、感染等应激因素有助于围术期血糖调控，有助于改善预后，缩短住院时间。(证据质量：高，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 183 [catid] => 266 [title] => 加速康复外科中国专家共识暨路径管理指南（2030）： 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/183.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前无需常规行机械性肠道准备。(证据质量：低，推荐强度：强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 184 [catid] => 25 [title] => Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/184.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://onlinelibrary.wiley.com/doi/10.1007/s00268-018-4844-y [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Patients should receive dedicated preoperative counselling routinely.（Quality of evidence: Moderate ；Recommendation grade: Strong） [laiyuan] => 应常规对患者进行术前咨询与指导。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )

Array ( [id] => 185 [catid] => 26 [title] => Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2019 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/185.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Patients should reach the anaesthetic room in as close a state to euvolaemia as possible and any preoperative fluid and electrolyte excesses or deficits should be corrected.（Quality of evidence: Moderate ；Recommendation grade: Strong） [laiyuan] => 患者处于接近贫血状态、术前液体和电解质过多或不足的情况，在进入麻醉室时应该被纠正。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )