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。
Objectlve: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.
出处
《蚌埠医学院学报》
CAS
2007年第2期160-161,共2页
Journal of Bengbu Medical College
关键词
食管肿瘤
食管/外科手术
手术后并发症
急性胃扩张
esophaged neoplasms
esophagus/surgery
postoperative complications
acute gastric dilatation