腹部手术后胃瘫综合症诊治分析  

Analysis of diagnosis and treatment of gastroplegia after abdominal surgery

作　　者：招雄民 肖治宇[2] 王若梅[2] 余志和[1] 李永浩[1] 黎锐和[1] 

机构地区：[1]中山市黄圃人民医院普外科,528429 [2]广州中山大学孙逸仙纪念医院肝胆外科,510120

出　　处：《岭南现代临床外科》2010年第1期66-67,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨腹部外科术后发生胃瘫的原因、临床表现、诊断及治疗措施。方法回顾分析近5年来中山大学孙逸仙纪念医院及中山市黄圃人民医院腹部外科手术后发生胃瘫的45例患者的临床资料。结果临床表现、胃镜检查及胃肠造影是诊断本病的主要手段。胃瘫多出现在腹部外科术后的3~7天,经综合保守治疗后,胃肠动力可在术后2～14周内恢复。结论综合保守治疗是治疗胃瘫的有效方法,应避免再次手术。Objective To analysis the reason,clinical manifestation,diagnosis and therapy of gastroplegia after abdominal surgery.Methods 45 patients with gastroplegia after abdominal surgery,adopted in the recent five years in Sun Yat-sen memorial hospital of Sun Yat-sen university and Huangpu People＇s hospital of Zhongshan,were retrospectively analyzed.Results Clinical manifestation,Gastroscopy and gastroenterography were important measure in the diagnosis of gastroplegia.Gastroplegia usually occurred in 3 ~7 days after abdominal surgery.Gastrointestinal function could be recovered in 2 ~14 weeks by systematic conservative treatment.Conclusion Comprehensive conservative treatment is an effective method for the treatment of gastroplegia and the re-operation should be avoided.

关 键 词：腹部手术 胃瘫 

分 类 号：R656.6[医药卫生—外科学]