胃手术后残胃排空障碍14例诊治  

The treatment and diagnosis of functional delayed gastric emptying in 14 patients

作　　者：汪毅[1] 尤全山[1] 

机构地区：[1]六安市人民医院肿瘤外科,237000

出　　处：《安徽医学》2010年第9期1065-1066,共2页Anhui Medical Journal

摘　　要：目的探讨胃大部切除术后残胃功能性排空障碍(FDGE)的病因、发生机制及治疗方法。方法回顾性分析14例FDGE患者的临床资料。结果 14例患者行禁食水、持续胃肠减压、全胃肠外营养及维持水电解质酸碱平衡,用3%温盐水洗胃和促胃肠蠕动的药物等治疗。4例患者2周内,7例15～26d内,2例30d内,1例44d内治愈。结论胃大部切除术后残胃功能性排空障碍虽病因复杂,但积极采取对症处理,营养支持等治疗后均可获得满意疗效。Objective To evaluate the etiology,pathogenesis and treatment of functional delayed of gastric remenant emptying（FDGE）after subtotal gastrectomy.Methods Retrospectively analyzed clinical data and treatment process of 14 patients who were diagnosed FDGE in our hospital in past five years.Results 14 patients underwent fasting food and water,continuous gastrointestinal decompression,TPN and maintenant balance of water medium acid-base,3% warm saline gastric lavage and medicine to promote gastric peristalsis.4 patients were cured in 2 weeks,7 cases in 15-26 days,2 cases in 30 days,and 1 case in 44 days.Conclusion Although the causes of functional delayed in gastric remenant emptying FDGE（FDGE）are complex,but through active symptomatic disease management,nutritional support treatment,the therapeutic effect may be satisfed.

关 键 词：胃大部切除 功能性排空障碍 

分 类 号：R656.61[医药卫生—外科学]