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编号:10781277
腹部手术后功能性胃排空障碍的诊治
http://www.100md.com 《中华实用医药杂志》 2005年第17期
腹部手术,,腹部手术;术后并发症;胃排空障碍;诊断方法;治疗措施,1临床资料,2讨论,【参考文献】
     【摘要】 目的 探讨腹部手术后功能性胃排空障碍的诊断方法和治疗措施。方法 对收治的21例腹部手术后功能性胃排空障碍者进行临床分析,包括临床特点、非手术治疗的选择及其措施。结果 21例病人经多方检查确诊为功能性排空障碍,保守处理2~6周后均治愈。结论 腹部手术后功能性胃排空障碍为非机械性梗阻,常规措施能够明确诊断,在胃肠减压、维持水电解质和酸碱平衡的基础上加用小肠内营养,以小肠运动带动胃的蠕动,从而达到治愈的目的,切忌再次手术。

    【关键词】 腹部手术;术后并发症;胃排空障碍;诊断方法;治疗措施

    【Abstract】 Objective To discuss the diagnosis methods and treatments of the gastric emptying disturbance after abdominal surgery.Methods 21 cases diagnosed of gastric emptying disturbance after abdominal surgery were clinically analyzed.Results The above 21 patients were cured by means of conservative non-operative treatment.Conclusion Gastric emptying disturbance after abdominal surgery was non-mechanical obstruction.It could be diagnosed by general medical tests.By using EN supporting on basis of gastrointestinal decompression and keeping fluids electrolytes and acid based-balanced,small intestine movement could induce the enterocinesia of stomach and the suring purpose could be achieved.The re-operation should be inhibited. ......

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