急性胃扩张的骨科病因探讨(附9例报告)

Study on orthopaedic causes of acute gastric dilatation(with 9 cases report)

目的:分析急性胃扩张在骨科住院患者中发生的病因。方法:自2006年8月至2008年3月的9例骨科患者合并急性胃扩张,确诊后给予禁食水、胃肠减压、肠道外营养等系统外科治疗,通过对其病程的观察总结其病因。结果:9例患者中6例死亡,3例痊愈。结论:急性胃扩张是死亡率很高的骨科合并症,创伤或手术刺激、长期卧床、体质虚弱是发生此类合并症的高危因素。

Objective：To analyzes the major cause of acute gastric dilatation in orthopaedic patients. Methods：There are nine confirmed cases of acute gastric dilatation from Aug. 2006 to Mar. 2008. All the patients were given the systematic treatment such as water deprivation, negative-pressure apparatus and parenteral nutrition. The causes of this complication were concluded by the observation through the course of disease. Results： Six patients were dead and 3 patients got recovery. Conclusion：Acute gastric dilatation is an orthopaedic complication with high mortality. And the wound, surgery stimulation,long-term bedridden and general weakness are higher dangerous factors for this kind of complication.