摘要
目的探讨腹部手术后胃瘫综合征的临床危险因素。方法对我院1999～2009年间,收治的38例腹部手术后出现胃瘫综合征的临床资料进行回顾性分析。结果本组38例中,胃大部切除术31例;非胃大部切除术7例。其中,合并糖尿病27例;年龄60岁以上29例;低蛋白血症24例;手术时间>3h18例;术后置肠内营养管17例。结论术后胃肠道运动的改变及吻合口水肿是发生胃瘫综合征的主要原因,高龄、合并糖尿病、手术时间过长、低蛋白血症、胃迷走神经切断、术后置肠内营养管可能为其诱因。
Objective To investigate the clinical risk factors of abdominal postoperative gastroparesis syndrome（PGS）. Methods The clinical data 38 cases of gastroparesis syndrome after abdominal surgery were analyzed retrospectively from 1999 to 2009. Results 31 cases with subtotal gastrectomy; 7 cases with non-subtotal gastrectomy; 27 cases with diabetes mellitus; 29 cases with above 60-year-old; 24 cases with hypoproteinemia; 18 cases with above 3 hours of operative time; 17 cases with enteral nutrient canal after opertion. Conclusion Changes of gastrointestinal movement and edema of anastomotic stoma after operation might be the main reason of PGS. Advanced age,diabetes mellitus,too long time of operation,hypoproteinemia,gastric vagotomy,postoperative enteral nutrition canal may be the risk factors of PGS.
出处
《黑龙江医学》
2010年第3期204-205,共2页
Heilongjiang Medical Journal
关键词
腹部手术
胃瘫综合征
危险因素
Abdominal surgery
Gastroparesis syndrome
Risk factors
