中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
1期
53-53,55
,共2页
胃部手术%胃瘫综合征%诊断%治疗%预防
胃部手術%胃癱綜閤徵%診斷%治療%預防
위부수술%위탄종합정%진단%치료%예방
Gastric operation%Gastroparesis syndrome%Diagnosis%treatment%Prevention
目的：探讨胃部手术后胃瘫综合征外科诊治预防体会。方法：对2006年1月~2012年12月25例胃排空障碍患者进行保守治疗：禁食,胃肠减压,维持水电解质酸碱平衡,补充微量元素及维生素,胃肠外营养,应用胃肠动力药,心理治疗。结果：术前幽门梗阻16例,毕罗Ⅱ式手术12例,手术时间(4.22±0.98)h,白蛋白水平(30.56±2.12) g/L ,25例患者治愈,平均(18.22±5.02)天,无再次手术病例。结论：胃瘫综合征的发生与多种因素有关,主要通过患者的临床表现和检查结果判断；保守治疗为主；同时做好幽门梗阻患者胃肠道准备,采取具有针对性的心理支持,尽量采取毕I式胃肠吻合,缩短手术及麻醉时间,纠正低蛋白血症可避免或减少胃瘫综合征的发生。
目的：探討胃部手術後胃癱綜閤徵外科診治預防體會。方法：對2006年1月~2012年12月25例胃排空障礙患者進行保守治療：禁食,胃腸減壓,維持水電解質痠堿平衡,補充微量元素及維生素,胃腸外營養,應用胃腸動力藥,心理治療。結果：術前幽門梗阻16例,畢囉Ⅱ式手術12例,手術時間(4.22±0.98)h,白蛋白水平(30.56±2.12) g/L ,25例患者治愈,平均(18.22±5.02)天,無再次手術病例。結論：胃癱綜閤徵的髮生與多種因素有關,主要通過患者的臨床錶現和檢查結果判斷；保守治療為主；同時做好幽門梗阻患者胃腸道準備,採取具有針對性的心理支持,儘量採取畢I式胃腸吻閤,縮短手術及痳醉時間,糾正低蛋白血癥可避免或減少胃癱綜閤徵的髮生。
목적：탐토위부수술후위탄종합정외과진치예방체회。방법：대2006년1월~2012년12월25례위배공장애환자진행보수치료：금식,위장감압,유지수전해질산감평형,보충미량원소급유생소,위장외영양,응용위장동력약,심리치료。결과：술전유문경조16례,필라Ⅱ식수술12례,수술시간(4.22±0.98)h,백단백수평(30.56±2.12) g/L ,25례환자치유,평균(18.22±5.02)천,무재차수술병례。결론：위탄종합정적발생여다충인소유관,주요통과환자적림상표현화검사결과판단；보수치료위주；동시주호유문경조환자위장도준비,채취구유침대성적심리지지,진량채취필I식위장문합,축단수술급마취시간,규정저단백혈증가피면혹감소위탄종합정적발생。
Objective:To investigate the diagnosis,surgical treatment and prevention of postsurgical gastroparesis syndrome after operation of stomach.Methods:January 2006~December 2012 delayed gastric emptying 25 cases patients were conservative treatment:Fasting,gastrointestinal decompression,maintaining water and electrolyte acid-base balance, trace elements and vitamins, parenteral nutrition, application of gastrointestinal drugs, psychotherapy.Results: Preoperative pyloric obstruction 16 cases Billroth II operation patients 12cases, operation time (4.22±0.98)h, albumin level (30.56±2.12)g/L. 25 patients were cured, the average (18.22 ± 5.02) days, without again operation cases.Conclusion:Gastroparesis syndrome associated with a variety of factors, Mainly through the patients with clinical manifestations and the inspection results to determine;conservative therapy;at the same time, pyloric obstruction in patients with gastrointestinal preparation, to adopt the psychological support, try to take the Billroth I gastrointestinal anastomosis, and shorten the operation time of anesthesia, occurrence of correction of hypoproteinemia can avoid or reduce the gastroparesis syndrome.
