摘要
[目的]探讨胃大部切除术后胃瘫综合征(PGS)的临床危险因素。[方法]回顾性研究我院及市中心医院近年来行胃大部切除术后PGS及无PGS病例的临床资料。[结果]全组年龄65岁以上,术前合并焦虑症、糖尿病、低蛋白血症,术前存在幽门梗阻,毕Ⅱ式胃肠吻合,手术时间>4h,术后使用自控型镇痛泵,日补液量>3500ml的患者PGS发生率较高。[结论]上述因素可能是胃大部切除术后PGS发生的高危因素,在围手术期纠正或避免这些高危因素对防止PGS发生有意义。
[Objective]To investigate the possible clinical factors contributing to PC-S after subtotal gastrectomy.[Methods]The clinical data from cases of PGS and non-PGS after subtotal gastrectomy were reviewed retrospectively.[Results]The high morbili- ty of PGS was found in the cases whose ages were over 65,combining anxiety disorder or diabetes mellitus or Iow-albuminemia in perioperative period,having pyloric obstruction in preoperative period,taking BillrothⅡgastroenterostomy,with operation time o- ver 4 hours,using patient-controlled analgesia,injecting liquid per day over 3500ml.[Conclusion]The clinical factors referred to previously may be the high risk factors of PGS after subtotal gastrectomy,avoiding these clinical factors in perioperative period would reduce the occurrence of PGS after subtotal gastrectomy.
出处
《浙江中医药大学学报》
CAS
2007年第6期743-744,共2页
Journal of Zhejiang Chinese Medical University
关键词
术后胃瘫综合征
胃大部切除术
回顾性研究
postsurgical gastroparesis syndrome
subtotal gastrectomy
retrospective study
