乳腺癌术后胃瘫的处理  

作　　者：卿笃桔[1] 陈学中[1] 

机构地区：[1]广东省江门市中心医院,广东江门529030

出　　处：《中国医药导报》2006年第14期24-25,共2页China Medical Herald

摘　　要：目的探讨乳腺癌术后胃瘫的病因,寻找正确有效的诊断和治疗方法。方法分析我院2000年到2004年收治的8例乳腺癌患者术后胃瘫的临床表现、诱发因素、治疗方法和效果。结果乳腺癌术后胃瘫多发生在70岁以上的老年人,手术时间长,术后应用自控镇痛的病人,主要表现为上腹饱胀、呕吐大量胃内容物。胃镜检查和胃造影不仅是检查手段,而且对胃蠕动的恢复有促进作用。结论乳腺癌术后可发生胃瘫,而高龄、手术时间长、术后应用自控镇痛可能是术后发生胃瘫的高危因素,综合保守治疗是治疗胃瘫的有效方法。Objective To investigate the etiology,diagnosis and treatment of gastroparesis after breast cancer operations.Methods clinical magnifestations,inducing factors,treatment and results were analyzed in 8 cases with gastroparesis afterbreast cancer operations. Results Gastroparesis was more frequent in patients whose age were over 70 or long time of op-eration or who used patient- controlled analgesia.Characterized by upper abdominal distention,vomitimg and large quantityof gastric drainage.Gastroscopy and gastrograph were not only valuable in the diagnosis of gastroparesis, but also effectivefor promoting gastric motility. Conclusions we should take into account the occurrence of gastroparesis after breast can-cer operations.Senitily and long time of operation and patient- controlled analgesia after operation may be the high riskfactor of gastroparesis.Combined conservative treatment is the effective treatment methods of gastroparesis.

关 键 词：乳腺癌 术后 胃瘫 

分 类 号：R[医药卫生]