摘要
目的探讨食管癌根治术后发生胃瘫的原因及对策。方法回顾性分析我院于2008年1月至2012年1月所收治的43例食管癌行根治术后发生胃瘫患者的临床资料,将其作为观察组,另选取同期行食管癌根治术未发生胃瘫的49例患者作为对照组,将两组进行对比分析。结果年龄、伴发疾病、精神因素、手术时间、术中出血量、术后肠内营养、补液量、不良进食等式发生胃瘫的主要原因。结论食管癌根治术患者应做好术前准备,术中仔细操作,术后并用肠内、肠外营养,发生胃瘫后充分胃肠减压是预防及治疗的关键。
Objective To investigate esophageal carcinoma postoperative gastroparesis causes and countermeasures.Methods A retrospective analysis not admitted to our hospital from January 2008 to January 2012,43 patients with esophageal cancer underwent radical postoperative clinical data of patients with gastroparesis,as the observation group,and other selected concomitant esophageal cancer surgery gastroparesis occurs 49 patients as a control group,the two groups were analyzed.Result Age,concomitant diseases,mental factors,operative time,blood loss,postoperative enteral nutrition,fluid volume,poor eating equation main gastroparesis occurs.Conclusion Esophagectomy surgery patients should be prepared to preoperative preparation,careful intraoperative,postoperative enteral,parenteral nutrition,the occurrence of a full decompression gastroparesis is key to prevention and treatment.
出处
《中国医药指南》
2013年第1期20-21,共2页
Guide of China Medicine
关键词
食管癌根治术
术后胃瘫
原因
对策
Esophageal cancer radical mastectomy
Postoperative gastroparesis
Reason
Countermeasures
