28例胃大部切除术后胃排空障碍患者的临床治疗(1)
【中图分类号】R656.6+1【文献标识码】B【文章编号】1672-5085(2008)02-0075-02【摘要】目的：探讨胃大部切除术后胃排空障碍患者的临床治疗方法。方法：本组28例患者均采用非手术的保守治疗方案。结果：在582例行胃大部切除术的患者中有28例出现术后胃排空障碍，其发生率为4.81%；本组28例均采用保守治疗，禁饮食，持续胃肠减压，高渗盐水洗胃，补液维持水电解质酸碱平衡，全胃肠外营养(TPN)，给予促胃肠动力药等治疗均顺利出院。结论：胃大部切除术后胃排空障碍的预防比治疗更重要，针对病因，采取综合性预防措施。
【关键词】胃大部切除术;胃排空障碍;保守治疗
After 28 examples stomachs big excision method the stomach evacuate barrier patient’s clinical treatment Ma Kegao
【Abstract】Objective:After discusses the stomach big excision method the stomach evacuate barrier patient’s clinical method of treatment. Method: This group of 28 examples patient uses the non-surgery the conservative treatment plan. Result：Has 28 examples after in 582 routine stomachs big excision methods patient to appear the technique the stomach evacuate barrier, its formation rate is 4.81%; This group of 28 examples use the conservative treatment, endures the diet, continues the stomach and intestines reduced pressure, high infiltrates the salt water gastric lavage, the fluid infusion maintenance water electrolyte acid and alkali is balanced, outside the entire stomach and intestines the nutrition (TPN), gives presses treatment and so on stomach and intestines power medicine smoothly to leave the hospital. Conclusion: After the stomach big excision method the stomach evacuate barrier prevention is more important than the treatment, in view of the cause of disease, takes the comprehensive nature preventive measure. ......
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