摘要
目的探讨胃大部切除术后功能性排空障碍的发生原因、诊断及治疗。方法对 １５７例胃大部切除术的临床资料进行回顾分析。结果本组发生功能性排空障碍１１例，发生率为７％，经保守治疗（除１例放弃治疗外）均于术后５周内治愈。结论术后残胃及空肠正常运动功能的改变是发生功能性排空障碍的主要原因。高龄、幽门梗阻、营养不良、电解质失衡等则是诱发的主要因素。消化道造影及胃镜检查是诊断本病的重要方法。采取非手术治疗一般均可治愈。除胃肠道动力药的应用外，胃肠减压、营养支持、电解质失衡的纠正等同样重要。
Objective To explore the occurrence, causes, diagnosis and treatment of the functional emptying disorder after the subtotal gastrectomy. Methods Retrospective analysis was made on the clinical data of 157 subtotal gastrectomy cases. Results Out of all the cases analyzed, 11 cases had functional emptying disocder (7% ) which was cured within 5 weeks after conservative therapy. Conclusion The main cause for the functional emptying disorder was due to the paralytic changes of the residual stomach and the jejunum whisch can be cured with conservative management.
出处
《浙江临床医学》
2000年第6期375-376,共2页
Zhejiang Clinical Medical Journal
关键词
胃大部切除术
残胃功能性排空障碍
诊断
治疗
Subtotal gastrectomy Functional empty ing disorder Conservative therH
