0 引言无机械性梗阻因素存在时导致的胃排空延迟称为胃轻瘫.胃轻瘫患者可无症状,也可有上腹饱胀、恶心、呕吐、早饱及体质量减轻等症状.目前国内外对胃轻瘫尚缺乏统一的诊断标准.胃轻瘫的诊断主要根据临床表现及辅助检查.按发病机制,胃轻瘫可分为原发性和继发性二种.按起病缓急和病程长短,胃轻瘫可分为急性和慢性二种.原发性胃轻瘫,又称特发性胃轻瘴,病因尚不清楚,多见于年轻女性,属于功能性上消化道综合征.继发性胃轻瘫,是由多种疾病引起的非机械性梗阻而致消化道功能异常.常见于糖尿病、肌强直性营养不良、系统性硬化症、皮肌炎、多发性肌炎、淀粉样变性、假性肠梗阻、慢性病毒感染、神经性厌食、伴或不伴胃大部 0 Introduction Delayed gastric emptying in the absence of mechanical obstruction factors is called gastroparesis. Patients with gastroparesis may be asymptomatic, with symptoms such as full abdomen, nausea, vomiting, early fullness, and weight loss. At present, there is a lack of uniform diagnostic criteria for gastroparesis at home and abroad.The diagnosis of gastroparesis is mainly based on clinical manifestations and auxiliary examination.According to the pathogenesis, gastroparesis can be divided into primary and secondary two kinds of According to the onset And urgency and duration of the disease, gastroparesis can be divided into acute and chronic two kinds of primary gastroparesis, also known as idiopathic gastritis, the cause is not clear, more common in young women, is a functional upper gastrointestinal tract Signs of secondary gastroparesis, caused by a variety of diseases caused by non-mechanical obstruction of digestive tract dysfunction. Common in diabetes, myotonic dystrophy, systemic sclerosis, dermatomyositis, polymyositis , Amyloidosis, pseudo-intestinal obstruction, chronic viral infection, anorexia nervosa, with or without large stomach