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为探讨食管贲门癌术后早期胸胃排空障碍的原因,对13例食管贲门癌术后并发胸胃排空障碍病人的临床资料进行了分析。结果,13例均在术后3天停胃肠减压,经胃管注入清流质后逐渐出现胸闷、气短、呼吸困难和呕吐等胸胃排空障碍的征象,钡透及胃镜证实诊断,经禁食水及持续胃肠减压和予以增加胃动力药物,保持水电平衡,加强营养支持等治疗均痊愈出院。认为胸胃排空障碍与迷走神经切断,胃的正常解剖位置变化而影响胃十二指肠压力梯度和胃窦部功能及胃泌素分泌的功能有关,也与术中人造膈裂孔过紧及术后胃肠减压不充分和经胃管滴入流质过凉或过快有关。
In order to investigate the causes of early thoracic gastric emptying after esophageal and cardiac cancer surgery, the clinical data of 13 patients with gastric and gastric emptying dysfunction after esophageal and cardiac cancer surgery were analyzed. Results, 13 cases were stopped gastrointestinal decompression 3 days after surgery, after the injection of clear liquid into the stomach tube, chest tightness, shortness of breath, dyspnea and vomiting chest and stomach emptying signs gradually, swollen thoroughly and confirmed by gastroscopy, Fasting water, continuous gastro-intestinal decompression, and gastro-intestinal drugs were added to maintain hydropower balance and strengthen nutritional support. All treatments were cured and discharged. It is believed that the thoracic gastric emptying and vagotomy, the change of the normal anatomical position of the stomach and affecting the gastroduodenal pressure gradient are related to the function of antrum function and the secretion of gastrin. After the gastrointestinal decompression is not enough and through the stomach tube into the liquid too cold or too fast.