近端胃大部切除术后胃瘫的预防及治疗体会  

Prevention and treatment of gastric paralysis after proximal gastric operation

作　　者：丁士海[1] 费维国[1] 陈立权[1] 

机构地区：[1]安徽医科大学附属六安医院普外二科,安徽六安237005

出　　处：《安徽医药》2012年第9期1322-1323,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨近端胃大部切除术后胃瘫的预防及治疗。方法通过对该科2005年1月—2010年12月胃大部切除术后发生胃瘫的18例病例的临床资料进行回顾性分析。结果 17例通过保守治疗后恢复出院,1例行手术治疗后恢复出院。保守治疗的时间为1～5周,再次手术后2周出院。结论胃瘫是胃大部切除术后常见的并发症,在近端胃大部切除术后发生率较高,一般经保守治疗可治愈,但也不能排除需要再次手术干预的可能性。Objective To study the prevention and treatment of gastric paralysis after proximal gastric operation. Methods A retrospec- tive analysis in January 2005 - December 2010 implementation of gastric remnant after subtotal gastric gastroparesis syndrome occurred in 18 patients of the clinical data were analyzed. Results 17 cases of recovery and discharged after conservative treatment, recovery and discharged after a routine surgical treatment. The conservative treatment time of 1 week to 5 weeks, and again discharged 2 weeks after surgery. Conclusion Gastric paralysis is common complications of subtotal gastrectomy , A higher incidence of proximal gastric paralysis postoperative, Generally be cured by conservative treatment, but can not rule out the possibility of again for surgical intervention.

关 键 词：胃大部切除术 胃瘫 预防 治疗 

分 类 号：R656.6[医药卫生—外科学]