腹部手术后胃排空障碍24例分析  

Analysis of 24 cases with delayed gastric emptying after abdominal operation

作　　者：夏春咸[1] 苗永昌[1] 李国宾[1] 康健[1] 

机构地区：[1]江苏省连云港市第二人民医院普外科,222023

出　　处：《腹部外科》2005年第6期348-349,共2页Journal of Abdominal Surgery

摘　　要：目的探讨腹部手术后胃排空障碍的病因、诊断、预防和治疗.方法对我院1995年1月～2004年12月收治的24例腹部手术后胃排空障碍病人的临床资料进行回顾性分析.结果本组胃排空障碍均发生于手术后4～14 d.经非手术治疗于术后16～40 d内治愈23例;再次手术后60d治愈1例.结论腹部手术后胃排空障碍经胃镜检查及消化道造影可以明确诊断.术后早期肠内营养、维持内稳态、防止应激性溃疡发生及有效防治腹腔感染能起到一定的预防效果.经非手术治疗一般可以治愈.Objective To investigate the cause, diagnosis, prevention and treatment of delayed gastric emptying after abdominal operation. Methods The clinical data of 24 cases with delayed gastric emptying after abdominal operation were retrospectively analyzed. Results Delayed gastric emptying occurred 4-14 days after operation in all 24 cases. Twenty-three cases were cured with nonoperative treatment 16-40 days after operation and one case was cured 60 days after reoperation. Conclusion The cause of delayed gastric emptying after abdominal operation is complicated. Diagnosis can be made by gastroscopy and alimentary radiography. Early enteral nutrition, internal environment stabilization, prevention of stress ulcer and effective prevention and cure of abdominal infection can prevent the occurrence of delayed gastric emptying after abdominal operation. It commonly can be cured with nonoperative treatment.

关 键 词：手术后期间 胃排空 运动障碍 

分 类 号：R656[医药卫生—外科学] R735.1[医药卫生—临床医学]