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find Keyword "胃瘫综合征" 4 results
  • Clinical Diagnosis and Treatment of Abdominal Postsurgical Gastroparesis Syndrome

    目的 总结腹部手术后胃瘫综合征(PGS)的病因、诊断及治疗方法。方法回顾性分析我院2003年1月至2009年3月期间行腹部手术后发生胃瘫的30例患者的临床资料。结果 PGS发生于术后5~10 d,通过临床表现、上消化道造影及胃镜检查明确诊断。全组均经营养支持、药物治疗等保守治疗后治愈,治愈时间14~62 d,平均25 d。结论 PGS是由多种因素导致的,上消化道造影及胃镜检查是诊断PGS的可靠方法,保守治疗为其主要治疗手段,应尽量避免再次手术。

    Release date:2016-09-08 10:55 Export PDF Favorites Scan
  • 远端胃切除术后胃瘫综合征的危险因素分析

    目的探讨远端胃切除术后胃瘫综合征发生的高危因素及与不同疾病和手术术式的关系。 方法回顾性分析吉林大学中日联谊医院胃肠外科2011年1月至2013年12月期间484例行远端胃切除手术病例的临床资料,对年龄、性别、术前低蛋白血症和流出道梗阻、疾病类型、手术方式等引起胃瘫综合征相关危险因素进行分析。 结果484例患者术后发生胃瘫综合征21例(4.3%)。患者年龄(P<0.01)、术前流出道梗阻(P<0.05)及重建方式(P<0.05)与术后胃瘫综合征的发生有关。 结论高龄、术前流出道梗阻和胃空肠吻合术是诱发胃瘫综合征的高危因素。

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  • Clinical practice of MDT in hypothyroidism complicated with postoperative gastroparesis syndrome after radical resection of right colon cancer

    Objective To summarize clinical diagnosis and treatment of 1 case of hypothyroidism complicated with postoperative gastroparesis syndrome (PGS) after radical resection of right colon cancer. Method The multi-disciplinary (MDT) mechanism was used to discuss the MDT consultations of the departments of general surgery, endocrinology, nutrition, radiology, and pathology in a patient with hypothyroidism and right colon cancer after the radical resection. Results The MDT discussion concluded that the patient had a clear diagnosis of right colon cancer before the surgery, and the PGS occurred after the radical resection of right colon cancer. The patient had the hypothyroidism before the operation, and the occurrence of PGS might be related to the hypothyroidism. The experts of MDT recommended to treat with the thyroxine sodium and nutritional support treatment after the surgery. According to the results of the MDT discussion, the patient’s PGS was gradually cured and discharged smoothly after the thyroxine supplementation and nutritional support. Conclusions Hypothyroidism may be a risk factor for occurrence of PGS after radical resection of right colon cancer. MDT mechanism can provide an individualized optimal treatment for patients with hypothyroidism complicated with PGS after radical resection of right colon cancer and benefit these patients.

    Release date:2018-11-16 01:55 Export PDF Favorites Scan
  • 远端胃癌行毕 Ⅱ式+Braun 式吻合术后胃瘫综合征的效果分析

    目的探讨远端胃癌行毕 Ⅱ式+Braun 式吻合术后胃瘫综合征的发生原因及治疗策略。方法回顾分析笔者所在医院科室于 2012 年 9 月至 2017 年 9 月期间行毕 Ⅱ式+Braun 式吻合、术后发生胃瘫综合征的 21 例远端胃癌患者的临床资料。结果552 例远端胃癌患者行毕 Ⅱ式+Braun 式吻合术,有 21 例患者在术后 6~14 d 发生胃瘫综合征。发生胃瘫综合征患者给予保守综合治疗后痊愈出院,住院时间为 12~35 d,平均 22 d。结论胃瘫综合征的发生是多因素诱发的,肠外营养联合肠内营养等综合保守治疗是一个可行、稳妥及安全的诊治方案。

    Release date:2020-07-01 01:12 Export PDF Favorites Scan
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