共查询到20条相似文献,搜索用时 359 毫秒
1.
[目的]探讨老年胃癌术后病人顽固性呃逆的常见原因。[方法]对21例胃癌术后发生顽固性呃逆的老年病人进行回顾性分析。[结果]胃癌术后发生顽固性呃逆的原因有低钠血症、胃胀气、酸中毒等。[结论]呃逆的治疗应根据不同原因分别处理,才能取得满意的疗效。 相似文献
2.
[目的]分析腹部手术病人术后顽固性呃逆产生的原因,总结相应的护理对策。[方法]回顾性分析58例腹部术后出现顽固性呃逆病人的临床资料。[结果]腹部手术病人术后顽固性呃逆的原因主要为胃肠胀气、药物因素、电解质紊乱、酸中毒、膈下感染、留置管因素等,给予相应处理后呃逆症状得到治愈或缓解。[结论]认真观察临床表现、正确分析原因并采取相应对症治疗及护理,有助于腹部手术病人术后顽固性呃逆的预防与治疗。 相似文献
3.
中西医结合治疗术后顽固性呃逆的疗效观察 总被引:1,自引:0,他引:1
[目的]评估山莨菪碱穴位注射对术后顽固性呃逆的疗效。[方法]将80例术后顽固性呃逆病人分为两组,对照组给予山莨菪碱肌肉注射;治疗组采用中医推拿加山莨菪碱穴位注射,观察两组疗效。[结果]治疗组的治疗效果优于对照组(P〈0.01)。[结论]以山莨菪碱穴位注射为主治疗术后顽固性呃逆明显优于肌肉注射山莨菪碱法。 相似文献
4.
5.
[目的]总结中西医结合治疗颅脑损伤并发顽固性呃逆病人的护理。[方法]对38例颅脑外伤并发顽固性呃逆病人进行中西医结合治疗,同时加强护理,以减轻和制止呃逆的发生。[结果]显效16例,有效20例,无效2例。[结论]加强中西医结合治疗颅脑损伤并发顽固性呃逆病人的护理可提高治疗效果。 相似文献
6.
[目的]评估山莨菪碱穴位注射对术后顽固性呃逆的疗效.[方法]将80例术后顽固性呃逆病人分为两组,对照组给予山莨菪碱肌肉注射;治疗组采用中医推拿加山莨菪碱穴位注射,观察两组疗效.[结果]治疗组的治疗效果优于对照组(P<0.01).[结论]以山莨菪碱穴位注射为主治疗术后顽固性呃逆明显优于肌肉注射山莨菪碱法. 相似文献
7.
[目的]观察吸痰、化痰对开颅术后顽固性呃逆的治疗效果。[方法]将40例开颅术后发生顽固性呃逆病人分为观察组和对照组各20例,观察组及对照组初期均以甲氧氯普胺10mg肌肉注射,并配合吸氧、心理护理及暗示疗法,对照组在甲氧氯普胺肌肉注射无效后则予氯丙嗪25mg肌肉注射,观察组经处理后症状无好转时予吸痰,比较两组病人的治疗效果。[结果]观察组、对照组总有效率分别为90%和25%,经比较差异有统计学意义(P0.05)。[结论]吸痰、化痰治疗呼吸道痰多、食物反流引起的呃逆效果良好。 相似文献
8.
[目的]观察家庭干预对老年胃癌根治术病人围术期负性情绪及生活质量的影响。[方法]将78例老年胃癌病人按随机数字表法分为观察组和对照组,每组39例,对照组病人给予常规护理,观察组在常规护理的基础上进行家庭干预护理,采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对病人入院前后不良情绪进行评价,采用胃癌病人生活质量调查问卷(QLQ-STO22)对病人生活质量进行评定,并对比两组病人并发症发生率。[结果]观察组病人出院时SDS、SAS评分低于对照组(P0.05);在生活质量方面观察组焦虑、胃部疼痛、口干、饮食受限、吞咽困难、呃逆评分低于对照组(P0.05);术后两组病人并发症发生率比较差异无统计学意义(P0.05)。[结论]家庭干预能够改善老年胃癌根治术病人围术期负性情绪,提高生活质量。 相似文献
9.
10.
11.
12.
Helical CT of postoperative patients with gastric carcinoma: value in evaluating surgical complications and tumor recurrence 总被引:3,自引:0,他引:3
Background: We assessed computed tomographic (CT) features of postoperative complications and recurrent tumors in gastric cancer patients who underwent radical surgery.Methods: We performed a retrospective study of 397 patients who had undergone radical surgery for the treatment of gastric carcinoma and underwent postoperative CT in our institution over a 2-year period. Patients were assigned to one of two groups: group A consisted of 47 patients who underwent CT for complications in the early postoperative period, and group B consisted of 355 patients who underwent CT for evidence of tumor recurrence during the follow-up period. We classified recurrent tumors into four categories: local recurrence, lymph node metastasis, peritoneal seeding, and remote metastasis.Results: In group A, localized fluid collections or abscesses in the surgical bed were found in 38 patients (81%) and usually involved the left subphrenic area (74%) or the superior recess of the lesser sac (47%). In group B, recurrent tumors were found in 196 patients (55%). Among these, lymph node metastasis was the most common pattern (52%), followed by peritoneal seeding (44%), local recurrence (40%), and remote metastasis (37%).Conclusion: CT after radical surgery for the treatment of gastric carcinoma frequently shows postoperative complications or tumor recurrence. Familiarity with the common postoperative complications and patterns of the tumor recurrence is a prerequisite to accurate interpretation of CT findings in these patients. 相似文献
13.
14.
胃癌急性穿孔的诊断与外科治疗 总被引:3,自引:0,他引:3
目的:探讨胃癌急性穿孔的诊断和外科治疗。方法:对我院1998年-1999年间45例胃癌急性穿孔患者的临床资料进行回顾性分析。结果:胃癌穿孔多见于高龄,均为进展期溃疡型癌,病理多为低分化或未分化腺癌(37/45例,82.2%),全组45例行单纯穿孔修补20例,姑息性胃癌切除10例,胃癌根治切除15例,3种术式术后并发症发生率分别为30%、10%、13%;术后平均生存时间分别为6.1个月、16个月、26个月,全组2例死亡均为单纯穿孔修补病例。死亡原因为脏器功能衰竭和局部再穿孔。结论:胃癌穿孔常表现为年龄偏大,全身情况差,溃疡及穿孔直径大,邻近器官转移或侵润等,术中应提高对本病的认识和警惕性,应积极手术治疗,尽可能行姑息性或根治性胃癌切除术。 相似文献
15.
16.
目的 探讨肌注利他林联合按压翳风穴对肺癌患者放化疗所致顽固性呃逆的效果,以提高治疗的有效率。方法 选择2011年1月至2012年6月在同济大学附属肺科医院中医科40例放化疗后出现顽固性呃逆的肺癌患者,随机平均分为2组。观察组采用根据医嘱肌注利他林联合双拇指按压翳风穴方法,对照组采用根据医嘱肌注利他林的方法治疗放化疗后顽固性呃逆,连续治疗2天后,观察治疗效果。结果 观察组呃逆治疗有效率高于对照组(P<0.05)。结论 采用根据医嘱肌注利他林联合按压翳风穴方法治疗肺癌患者放化疗所致顽固性呃逆具有增加疗效,减轻副作用,操作简便等优点,可进行临床推广。 相似文献
17.
目的:探讨肝移植术后患者神经精神并发症发生原因及护理方法.方法:对162例肝部疾病患者行肝移植术,术后出现神经精神并发症38例,分析其发生原因并提出针对性护理对策.结果:本组术后发生神经精神并发症38例,给予积极处理,死亡2例,其余症状均缓解.肝移植术后神经精神并发症的发生与心理、药物、疾病、手术及是否快速纠正低钠血症等因素有关.结论:肝移植术患者术后易出现神经精神并发症,分析其发生原因,加强针对性护理干预可减少肝移植术后患者神经精神并发症发生,提高手术成功率,促进患者康复. 相似文献
18.
Earlier prediction of anastomotic insufficiency after thoracic esophagectomy by intramucosal pH. 总被引:2,自引:0,他引:2
T Tarui A Murata Y Watanabe S P Kim M Inoue H Shiozaki N Taenaka M Monden 《Critical care medicine》1999,27(9):1824-1831
OBJECTIVES: To assess the value of using intramucosal pH (pHi) measurements to evaluate the viability of the gastric tube after thoracic esophagectomy, and to determine whether these measurements may be used for early prediction of anastomotic insufficiency. DESIGN: Prospective, observational study. SETTING: University hospital in Japan. PATIENTS: Thirty-nine patients who had undergone thoracic esophagectomy as a treatment for esophageal cancer. INTERVENTIONS: The blood flow within the gastric tube was measured using a laser Doppler flowmeter during surgery. Periodic measurement of the pHi within the gastric tube (gastric pHi) began during surgery and continued until the second postoperative day. In 30 patients, the pHi within the rectum (rectal pHi) was measured simultaneously with the gastric pHi. The patients were divided into two groups: those patients who experienced anastomotic insufficiency constituted the leakage(+) group (n = 13); those patients who did not experience these complications were designated the leakage(-) group (n = 26). MEASUREMENTS AND MAIN RESULTS: The gastric pHi values correlated significantly with simultaneous measurements of the blood flow at the anastomotic site (p < .01). The postoperative gastric pHi values increased gradually in the leakage(-) group but stopped increasing after surgery in the leakage(+) group. The rectal pHi values increased gradually after surgery in both groups. Furthermore, there was a significant difference between the two groups when their gastric pHi values were subtracted from their rectal pHi values from the morning of the first postoperative day until the morning of the second postoperative day (p < .05). CONCLUSIONS: The gastric pHi values well reflected the viability of the gastric tube, especially when combined with the rectal pHi values. By measuring pHi, we can more accurately predict the risk of anastomotic insufficiency earlier after surgery and therefore give those patients who need it additional care to improve the viability of the gastric tube. 相似文献
19.
目的分析不同年龄段成人患者心脏术后急性肾损伤(acute kidney injury。AKI)发病状况,以指导研究进一步防治措施。方法前瞻性收集接受心脏外科手术住院患者病史资料,分析不同年龄段患者心脏手术后AKI发病率、发病危险因素及短期预后。结果共入选3896例接受心脏手术治疗患者。其中中青年(〈65岁,但≥18岁)患者3086例、老年(≥65岁,但〈80岁)患者772例、高龄(≥80岁)患者38例。老年组术前血肌酐、男性、术前心功能NYHAIII级、术前合并糖尿病、高血压及造影史比例、接受冠状动脉旁路移植术、术后因低血压使用肾上腺素及去甲肾上腺素比例均高于中青年组(P值均〈0.05),高龄组术前血肌酐、术前心功能NYHAIII—IV级及接受冠状动脉旁路移植术比例均高于老年组(P值均〈0.05)。中青年组心脏术后AKI发病率均低于老年组和高龄组(23.1%比39.9%,P〈0.05;23.1%比42.1%,P〈0.05);3组患者院内死亡率组间比较无显著性差异。多因素Logistic回归分析显示,≥65岁患者心脏术后AKI发生的独立危险因素包括男性、年龄、术前SCr〉1.2mg/dl(img/dl=88umol/L)、术后因低血压使用肾上腺素。结论老年人心脏术后AKI随患者年龄增加而逐步升高且预后较差,其发病与围手术期多种危险因素密切相关。老年人心脏术后并发AKI时仍应积极救治,以期进一步改善患者预后。 相似文献
20.
128例老年胃癌患者围手术期临床特点分析及护理对策 总被引:2,自引:0,他引:2
目的:提高对老年胃癌患者围术期护理的认识。方法:对128例≥65岁胃癌患者与同期〈65岁212例胃癌患者围术期各方面资料进行对比分析。结果:≥65岁组术前合并症多,全胃及联合脏器切除比例高、创伤大,术后非手术相关并发症多,患者文化水平较低,社会支持水平低。结论:对老年胃癌患者应重视术前的全面评估和充分准备,争取和利用患者的社会支持系统,采取灵活多样的形式进行健康教育,术后重视呼吸系统、心血管系统并发症及手术相关并发症(吻合口瘙、胃排空障碍、胰腺炎、胸腔积液或腹腔积液等)的预防和护理。 相似文献