胃手术后胃瘫诊治分析  

Diagnosis and treatment of gastroparesis after gastrectomy

作　　者：赵国海[1] 史良会[1] 张义胜[1] 蒋大平[1] 许业松[2] 

机构地区：[1]皖南医学院附属弋矶山医院普外四科,安徽芜湖241001 [2]皖南医学院附属弋矶山医院康复医学科,安徽芜湖241001

出　　处：《皖南医学院学报》2004年第1期24-26,共3页Journal of Wannan Medical College

摘　　要：目的　总结胃大部切除术后胃瘫的临床诊治经验。方法　对行胃大部切除术后发生胃瘫的 18例病人的治疗过程和效果进行回顾性分析。结果　胃瘫的临床表现为胃潴留 ,而无明显腹痛 ,大多数肛门排气正常。经胃肠减压、营养支持、维持水电解质及酸碱代谢平衡、应用促进胃肠动力药物以及中医方法 ,18例均得以缓解。结论　胃大部切除术后胃瘫的诊断主要依据临床表现 ,胃镜检查有重要价值 ,排除存在机械性梗阻后应采用积极非手术治疗 ,不应盲目手术。Objective To review the diagnosis and treatment of gastroparesis after subtotal gastrectomy. Methods\ The clinical data of 18 patients with gastroparesis after subtotal gastrectomy were retrospectively analyzed. Results\ The symptoms of gastroparesis showed gastric fullness,but no obvious pain in the abdomen. Most of the patients expelled flatus normally. 18 cases had curative effects through the reduction of gastric pressure, maintenance of hydroelectrolytic balance and nutritional status, application of prokinetic drugs, and traditional Chinese medicine. Conclusion\ The diagnosis of gastroparesis mainly depends on the clinical syndrome and gastroendoscopy. The patients should be actively treated by conservative means. Unnecessary reoperation should be avoided.

关 键 词：胃手术 胃瘫 术后并发症 胃肠减压 营养支持 胃镜检查 机械性梗阻 临床表现 

分 类 号：R656.61[医药卫生—外科学]