腹部术后胃瘫分析

Diagnosis and treatment of postsurgical gastroparalysis syndrome after abdominal operation

目的:探讨腹部术后胃瘫综合征发生的原因、诊断及治疗方法。方法:对15例腹部术后胃瘫综合征患者的临床资料进行分析。结果:15例患者经非手术治疗均于术后10～48天恢复胃动力,痊愈出院。结论:胃镜检查及上消化道造影是诊断本病有价值的方法;采用胃肠减压、加强营养支持、维持水及电解质平衡、予促进胃肠蠕动的药物及中医疗法等非手术治疗可取得满意疗效。

Objective：To study the etiology,diagnosis,and treatment of postsurgical gastroparalysis syndrome（PGS）after abdominal operation.Methods：The clinical data of 15 cases with PGS were analyzed.Results：There were 15 cases suffering PGS after abdominal operation.fiveteen patients were cured with nonopertive treatment.The curing time was 10～48 days.Conclusions：Gastroscopy and radiography of upper gastrointestinal tract were main methods to diagnose PGS.Everyone patients relieved from gastrintestinal decompression,nutritional support,water-electrolyte metabolism balance,gastrointestinal motility medicine and combined integrated traditional chinese medicine treatment.non-surgical treatment way shoud be adopted and would have satisfactory therapeutic effect.