腹部手术后胃瘫诊治分析  

Analyse of Reason and Treatment for Postoperative Gastroparesis Following Abdominal Operation

作　　者：陶致侃[1] 王巨仁 TAO Zhi-kan,WANG Ju-ren （1.Shenzhou Hospital,Shenzhou Medical College,Shenyang 110002;2.Lijia Health Centre of Huishan Country,Jinzhou 121000,China）

机构地区：[1]沈阳医学院沈洲医院,辽宁沈阳110002 [2]黑山县励家中心卫生院,辽宁锦州121000

出　　处：《医学信息》2010年第15期2880-2881,共2页Journal of Medical Information

摘　　要：目的总结腹部手术后胃瘫的临床经验,对其病因及治疗进行分析。方法对腹部术后并发胃瘫的52例患者的临床治疗进行回顾性分析。结果术后胃瘫的临床表现主要为腹胀,呕吐,无明显腹痛,大多数患者排气正常,消化道X-ray钡餐造影提示胃蠕动差,胃镜检查吻合口通畅。52例患者经胃肠减压、营养支持、维持水电解质代谢平衡以及应用促进胃肠蠕动的药物及中西医结合治疗等非手术治疗均缓解。结论手术后胃瘫的诊断主要依据临床表现;胃镜检查有其重要价值;排除机械性梗阻后,采取非手术治疗,可取得满意疗效。Objective To summarize the clinical experiences for analyzing the reason and treatment of postoperative Gastroparesis following abdominal operation.Methods The clinical data of 52 cases with gastroparesisi after abdomonal operation were analyzed retrospectively. Results The clinical manifestation of postoperative gastroparesis was abdominal distention,vomit,no obvious celiodynia and normal gas discharge by anus in majority patients,weak enterocinsia was shown by barium meal X-ray of alimentary canal opacification,and unobstructed anastomotic stoma shown by gastroscopy.52 patients relieved from gastrointestinal decompression,nutrition support,water-electrolyte metabolism balance,gastrointestinal motility medicine and combined integrated traditional chinese medicine and western medicien treament.Conclusion Postoperative gastroparesis mainly diagnosis depends on clinical manifestation,Gastroscopy is significant value in diagnosis of grastroparesis.When mechanical is excluded,non-surgical treatment way should be adopted and would have satisfactory therapeutic effect.

关 键 词：胃瘫腹部手术 胃镜检查 

分 类 号：R619.9[医药卫生—临床医学;医药卫生—外科学]