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胃大部切除术后胃轻瘫的诊断与治疗
引用本文:鞠万东,赵杨. 胃大部切除术后胃轻瘫的诊断与治疗[J]. 中国现代医生, 2008, 46(14): 44-45
作者姓名:鞠万东  赵杨
作者单位:辽宁省盘锦市第二人民医院普外科,辽宁盘锦,124000
摘    要:目的探讨胃大部切除术后胃轻瘫的诊断与治疗。方法对2000年1月-2007年8月我院收治的19例胃大部切除术后胃轻瘫的临床表现、诊断、治疗方法与结果进行回顾性分析。结果19例患者经稀钡造影及胃镜检查均得到明确诊断,并经对症处理3~7周后均治愈。结论胃大部切除术后胃轻瘫属非机械性梗阻,胃镜不仅对残胃无力有诊断作用,且有明显治疗作用,一经诊断明确者应行保守治疗,切忌再次手术。

关 键 词:胃轻瘫  胃大部切除术  术后  诊断  治疗

Diagnosis and Treatment of Functional Gastric Atony after Subtotal Gastrectomy
JU Wandong,ZHAO Yang. Diagnosis and Treatment of Functional Gastric Atony after Subtotal Gastrectomy[J]. , 2008, 46(14): 44-45
Authors:JU Wandong  ZHAO Yang
Affiliation:(The Second People's Hospital of Panjin,Liaoning 124000)
Abstract:Objective To discuss the diagnosis and treatment of gastric atony after subtotal gastrectomy. Methods The results, methods of diagnosis, treatment, clinical manifestations in 19 cases of gastric atomy after subtotal gastrectomy from February 2000 to August 2007 were analyzed retrospectively. Results 19 cases were diagnosed by barium studies and endoscopy and treated for three to seven weeks with conventional treatment. Conclusion Functional gastric atony after subtotal gastrectomy belongs to non-mechanical obstruction of intestine. Endoscopy is useful for diagnosis and treatment of gastric atony. After the diagnosis of gastric atony, these patients should be treated by conventional methods. Operative treatment should be avoided.
Keywords:Gastric atony  Subtotal gastrectomy  Postoperation  Diagnosis  Treatment
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