胸腔手术后急性胃扩张14例分析

Analysis of 14 Cases with Acute Gastric Dilatation after Chest Cavity Surgery

目的探讨胸腔手术后急性胃扩张的发病机制、病因、预防和治疗。方法回顾性分析我院58例胸腔手术患者临床资料,对术前是否进行持续胃肠减压发生急性胃扩张进行比较。结果胸腔手术前持续胃肠减压与术前未进行持续胃肠减压,术后发生急性胃扩张比较有非常显著性差异(P<0.01)。结论术前持续胃肠减压可明显减少胸腔手术后急性胃扩张的发生,建议胸腔手术前常规进行持续胃肠减压。

Objective To discuss the pathogenesis, cause, prevention and treatment of the acute gastric dilatation after chest cavity surgery. Methods The clinical data of 58 cases receiving chest cavity surgery were analyzed; A comparison was made between the patients with acute gastric dilatation caused by continuous gastrointestinal decompression before operation and the patients with gastric dihtation without continuous gastrointestinal decompression before operation. Results The comparison showed out a difference of great significance （ P 〈 0.01 ）. Conclusions As continuous gastrointestinal decompression before operation may obviously decrease the occurrence of acute gastric dilatation after chest cavity surgery, it should be suggested as the routine.