| 急性胃扩张的诊治体会及认识的重要性(附2例报告) |
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| 引用本文： | 常建星,姜骏,李莉,常瑞明. 急性胃扩张的诊治体会及认识的重要性(附2例报告)[J]. 岭南急诊医学杂志, 2004, 9(4): 273-274,279 |
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| 作者姓名： | 常建星 姜骏 李莉 常瑞明 |
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| 作者单位： | 中山大学附属第二医院急诊科,510120;中山大学附属第二医院急诊科,510120;中山大学附属第二医院急诊科,510120;中山大学附属第二医院急诊科,510120 |
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| 摘 要： | 急性胃扩张是一种少见疾病，是由于各种原因导致胃的麻痹、胃内压急剧升高及胃血液动力性改变最终引起胃的过度膨胀。由胃内压升高导致胃壁血管功障碍是急性胃扩张发病的关键因素．胃腔过度膨胀所致胃壁坏死穿孔是急性胃扩张最严重的并发症，其死亡率极高。本文报道2例原因不明的急性胃扩张伴胃壁坏死破裂并进行相关文献综述。
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| 关 键 词： | 急性胃扩张 胃坏死穿孔 胃麻痹 |
Acute Gastric Dilatation with Subsequent Necrosis of Uncertain Etiology:a Report of Two Cases and a Review of the Literature |
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| CHANG JIAN-XING,JIANG JUN,LI LI,CHANG RUI-MINGEMERGENCY DEPARTMENT,THE SECOND AFFILIATED HOSPITAL,SUN YAT-SEN UNIVERSITY,GUANGZHOU. Acute Gastric Dilatation with Subsequent Necrosis of Uncertain Etiology:a Report of Two Cases and a Review of the Literature[J]. Lingnan Journal of Emergency Medicine, 2004, 9(4): 273-274,279 |
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| Authors: | CHANG JIAN-XING JIANG JUN LI LI CHANG RUI-MINGEMERGENCY DEPARTMENT THE SECOND AFFILIATED HOSPITAL SUN YAT-SEN UNIVERSITY GUANGZHOU |
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| Affiliation: | CHANG JIAN-XING,JIANG JUN,LI LI,CHANG RUI-MINGEMERGENCY DEPARTMENT,THE SECOND AFFILIATED HOSPITAL,SUN YAT-SEN UNIVERSITY,GUANGZHOU,510120 |
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| Abstract: | ACUTE GASTRIC DILATATION IS AN INFREQUENT DISEASE IN WHICH MANY DIFFERENT FACTORS LEADING TO ANESTHESIA OF THE STOMACH, RAPIDLY INCREASING PRESSURE WITHIN THE STOMACH LUMEN AND ALTERATION OF BLOOD DYNAMICS OF THE STOMACH RESULT IN EXCEEDING INFLATION OF THE STOMACH LUMEN. GASTRIC NECROSIS IS THE MOST SEVERE CONSEQUENCE OF ACUTE GASTRIC DILATATION AND ITS MORTALITY RATE IS TERRIBLY HIGH. VASCULAR INSUFFICIENCY SECONDARY TO INCREASED INTRAGASTRIC PRESSURE IS THE CRITICAL FACTOR. WE REPORT TWO CASES OF ACUTE GASTRIC DILATATION WITH SUBSEQUENT NECROSIS OF UNCERTAIN ETIOLOGY AND DISCUSS CONCERNED WITH THE PROBLEMS. |
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| Keywords: | ACUTE GASTRIC DILATATION STOMACH NECROSIS AND PERFORATION STOMACH ANESTHESIA |
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