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| 食管切除术后急性胸胃扩张16例临床分析 | |
| 引用本文： | 梁书增,周谦让,程辉,杨辉. 食管切除术后急性胸胃扩张16例临床分析[J]. 蚌埠医学院学报, 2007, 32(2): 160-161 |
| 作者姓名： | 梁书增 周谦让 程辉 杨辉 |
| 作者单位： | 安徽省淮北市人民医院 胸心外科, 235000 |
| 摘 要： | 目的: 探讨食管切除术后急性胸胃扩张(acute thoracic gastric dilatation,ATGD)的病因和防治对策。方法: 对1999年4月-2005年8月食管切除术后ATGD 16例的临床资料进行回顾性分析。结果: ATGD均发生于食管切除术后5-12天。14例经非手术治疗于术后12-49天恢复胃动力而痊愈,其中4周内治愈11例,1例手术治愈,1例因并发多器官功能衰竭死亡。结论: 食管切除术后ATGD的原因是多因素的,关键在于预防,功能性胸胃扩张经非手术治疗可治愈,机械性梗阻则必须手术处理。 |
| 关 键 词： | 食管肿瘤 食管/外科手术 手术后并发症 急性胃扩张 |
| 文章编号： | 1000-2200（2007）02-0160-02 |
| 收稿时间： | 2006-04-23 |
| 修稿时间： | 2006-04-23 |
Acute thoracic gastric dilatation after esophagectomy:A Clinical analysis of 16 cases |
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| LIANG Shu-zeng,ZHOU Qian-rang,CHENG Hui,YANG Hui. Acute thoracic gastric dilatation after esophagectomy:A Clinical analysis of 16 cases[J]. Journal of Bengbu Medical College, 2007, 32(2): 160-161 | |
| Authors: | LIANG Shu-zeng ZHOU Qian-rang CHENG Hui YANG Hui |
| Affiliation: | Department of Thoracic Surgery, The People's Hospital of Huaibei, Huaibei 235000, China |
| Abstract: | Objective:To explore the etiology,prevention and treatment of acute thoracic gastric dilatation(ATGD).Methods: Sixteen patients with ATGD treated in our hospital from Apr.1999 to Aug.2005 were analyzed retrospectively.Results:ATGD usually occurred during 5-12 days postoperatively.The thoracic gastric function of 14 patients receiving non-operative therapy restored during 12-49 days after operation.One patient died from giving up treatment for multiorgan dysfunction syndrome.Eleven cases were cured in four weeks.One patient recovered after re-operation.Conclusions:ATGD is due to multiple factors.The key factor in avoiding ATGD lies on prevention.Functional ATGD can be cured by non-surgical treatment.Gastric outflow tract obstruction must resort to operation. |
| Keywords: | esophaged neoplasms esophagus/surgery postoperative complications acute gastric dilatation |
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