摘要
目的探讨胃大部切除术后胃瘫综合征(PGS)的临床危险因素。方法回顾性研究我院近年来行胃大部切除术后PGS及无PGS病例的临床资料。结果全组年龄65岁以上,术前合并焦虑症、糖尿病、低蛋白血症,术前存在幽门梗阻,毕Ⅱ式胃肠吻合,手术时间>4h,术后使用自控型镇痛泵,日补液量>3500ml患者PGS发生率较高。结论上述因素可能是胃大部切除术后PGS发生的高危因素,在围手术期纠正或避免这些高危因素对预防PGS发生有意义。
Objective To investigate the possible clinical factors contributing to PGS after subtotal gastrectomy. Methods The clinical data from cases of PGS and non - PGS after subtotal gastrectomy were reviewed retrospectively. Results The high morbility of PGS were found in the cases whose age were over 65 ,combininganxiety disorder or diabetes mellitus or low- albuminemia in perioperative period,having pyloric obstruction in preoperative period,taking Billroth Ⅱgastroenterostomy,whose operation time over 4 hours, using patient- controlled analgesia, injecting liquid per day over 3500 ml. Conclusion The clinical factors referred to preciously maybe the high risk factors of PGS after subtotal gastrectomy, avoiding these clinical factors in perioperative period would reduce the occurrence of PGS after subtotal gastreetomy.
出处
《临床外科杂志》
2007年第10期683-684,共2页
Journal of Clinical Surgery
关键词
术后胃瘫综合征
胃大部切除术
危险因素
postsurgical gastroparesis synodrom
subtotal gastrectomy
retrospective study
