引用文本：叶俊宜, 龚瑾. 加速康复外科理念下胃肠肿瘤患者围手术期的血液管理[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(4): 446-450.

作者：叶俊宜，龚瑾

单位：暨南大学附属第一医院胃肠外科，广东 广州 510000

Authors：Ye Junyi, Gong Jin

Unit：Department of Gastrointestinal Surgery, the First Hospital Affiliated to Jinan University, Guangzhou 510000, Guangdong, China

摘要：

加速康复外科（enhanced recovery after surgery，ERAS）是指在围手术期通过多学科协作，整合一系列具有循证医学证据的优化措施，有效、合理、适度地改良常规手术流程，旨在减轻手术应激反应，减少术后出血、感染、血栓等并发症的发生率，加速术后康复，缩短住院时间，降低费用，并提高患者生活质量。ERAS在胃肠肿瘤围手术期管理中发挥着不可或缺的作用。在此背景下，围手术期血液管理作为ERAS的重要环节，聚焦于“贫血防控”与“输血精简”的协同路径。本文将结合国内外文献，围绕上述路径展开论述，以期为胃肠肿瘤患者围手术期的血液管理提供参考意见。

关键词：加速康复外科；胃肠肿瘤；围手术期；血液管理

Abstract：

Enhanced recovery after surgery (ERAS) refers to the integration of a series of optimized measures with evidence-based medical evidence through multidisciplinary collaboration during the perioperative period. This approach effectively, reasonably, and moderately modifies conventional surgical procedures with the aim of reducing surgical stress responses, minimizing the incidence of postoperative complications such as bleeding, infection, and thrombosis, accelerating postoperative recovery, shortening hospital stays, lowering costs, and improving patient quality of life. ERAS plays an indispensable role in the perioperative management of gastrointestinal tumors. In this context, perioperative blood management, as a key component of ERAS, should focus on the coordinated strategy of "anemia prevention and control" and "blood transfusion reduction". Based on domestic and international literature, this article discusses the aforementioned approach in order to provide references for the blood management of patients with gastrointestinal tumors during the perioperative period.

Key words：Enhanced recovery after surgery; Gastrointestinal tumor; Perioperative period; Blood management

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