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《Journal of Medical Forum》 2010-15
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Clinical Treatment of Gastroparesis after Radical Resection of Esophageal and Cardiac Carcinoma

QIAO Baoan Jiyuan People's Hospital,Jiyuan 454650,China  
Objective To explore the esophageal and cardiac carcinoma after radical resection the incidence of gastroparesis factors and therapeutic measures.Methods Retrospective analysis of our hospital from August 2003 to October 2009 30 cases clinical data of patients with PGS.Results The group of 30 patients treated,abdominal distension,vomiting symptoms,gastrointestinal decompression drainage gradually less than 400ml / d,in the 19 ~ 38d upper digestive tract angiography confirmed gastric peristalsis,giving an extubation eating.Including 2 patients had gastric reflux,choking inside the lung,leading to aspiration pneumonia,give timely rescue,strengthen anti-infection,the condition under control,and eventually recovered.No one cases of deaths in this group all discharged,with an average hospitalization of 15 ~ 85 days.Conclusion The esophagus and cardia postoperative gastroparesis,such as improper handling may seriously affect the patient's cardiopulmonary function,leading to hypoproteinemia,electrolyte imbalance,causing a series of physiological changes in respiration and circulation,persistent unhealed can cause death.Preoperative patients to do well the ideological work in order to eliminate the tension to actively cooperate with the treatment;surgery operations to be gentle,to avoid excessive pulling or squeezing the stomach;free stomach should not only fully and to avoid excessive,in the stomach long enough to anastomosis and avoid free duodenal;gastrointestinal surgery to be carried out fully,maintaining water and electrolyte balance,nutritional support to enhance the treatment,eating properly,in order to promote patient recovery.
【CateGory Index】: R735
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