36例腹部手术后胃瘫综合征因素分析及诊治体会  

Analysis of Factors and Diagnosis of 36 Cases of Gastric Paralysis Syndrome After Abdominal Operation

作　　者：冷光现 俞永江[1] 杨伟林[1] 杨欢[1] 王斌生[1] 曹农[1] 

机构地区：[1]兰州大学第一医院普外一病区,730000

出　　处：《中国卫生标准管理》2016年第2期74-75,共2页China Health Standard Management

摘　　要：目的总结腹部手术后胃瘫综合征发生的病因、诊断、治疗和预防措施。方法对兰州大学第一医院普外一科2010年9月-2015年8月36例腹部手术后胃瘫综合征患者资料进行回顾性分析。结果本组的所有患者经过非手术治疗后,患者的胃肠蠕动功能均得到不同程度的恢复,患者的胃管引流量均低于500 ml/d,引流液的颜色黄而清,未发生水、电解质紊乱和酸碱平衡失调等并发症。结论胃瘫综合征发病为精神、手术以及神经等因素的综合影响,临床诊断应根据患者的临床具体表现、胃镜以及消化道造影结果判断,积极应用非手术治疗,能够有效的改善预后效果。Objective To summarize the causes of gastric paralysis syndrome occurred after abdominal surgery. Diagnosis,treatment and preventive measures were analyzed. Methods The first hospital of lanzhou university general subject in September 2010 to August 2015,36 patients with gastric paralysis after abdominal surgery were retrospectively analyzed. Results All the patients after non-operative treatment with gastrointestinal peristalsis function had different degrees of recovery. The patient＇s stomach tube flow was less than 500 ml/d,color was yellow, there was no water,electrolyte imbalance and acid-base balance disorders such as complications. Conclusion The comprehensive influence of the incidence of gastric paralysis syndrome were spirit,operation and nerve. Clinical diagnosis should be based on the patient＇s clinical manifestation,gastroscope and digestive tract imaging result for judgment,actively using of non surgical treatment,can effectively improve the prognosis.

关 键 词：腹部手术 胃瘫综合征 因素 诊治 

分 类 号：R619[医药卫生—外科学]