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目的对食管癌、贲门癌根治术后出现胃瘫的原因进行分析,并探讨有效的治疗措施。方法 54例食管癌、贲门癌根治术后出现胃瘫的患者,对其临床资料进行回顾性分析,并探讨发生原因和有效的治疗措施。结果 54例患者的胃肠蠕动症状均恢复正常,进食也恢复正常状态,1例患者发生胃液反流,呛入到肺部,出现吸入性肺炎;患者的病情得到有效控制,自身抗感染力得到提高;无一例患者死亡,均经治疗痊愈后出院。结论食管癌、贲门癌根治术后出现胃瘫主要受到术中操作、处理不当等因素影响,为有效提高治愈率,需要及早诊断。
Objective To analyze the causes of gastric paralysis after radical resection of esophageal cancer and cardia cancer and discuss the effective treatment measures. Methods 54 patients with gastroparesis after radical resection of esophageal cancer and cardia cancer were retrospectively analyzed, and the causes and effective treatment measures were also discussed. Results The symptoms of gastrointestinal motility in 54 patients returned to normal, and their eating returned to normal. One patient developed reflux of gastric fluid and choked into the lungs to develop aspiration pneumonia. The patient’s condition was effectively controlled and his anti-infective ability Improve; no patient died, were cured after treatment were discharged. Conclusions Gastroparesis after esophageal cancer and gastric cardia cancer is mainly affected by intraoperative operation and improper handling. In order to effectively improve the cure rate, early diagnosis is needed.