急性胃扩张

胸腔手术后急性胃扩张14例分析

Analysis of 14 Cases with Acute Gastric Dilatation after Chest Cavity Surgery

目的探讨胸腔手术后急性胃扩张的发病机制、病因、预防和治疗。

Objective To discuss the pathogenesis , cause , prevention and treatment of the acute gastric dilatation after chest cavity surgery .

急性胃扩张是一种罕有的并发症。

Acute dilatation of the stomach is a rare complication .

方法回顾性分析我院58例胸腔手术患者临床资料，对术前是否进行持续胃肠减压发生急性胃扩张进行比较。

Methods The clinical data of 58 cases receiving chest cavity surgery were analyzed ;

婴儿急性胃扩张的护理

Nursing Care for Children with Acute Gastrectasia

为了研究农药中毒及其它原因引起的急性胃扩张的手术治疗效果。

Objective : To study the effects of operation for acute stomach dilatation produced by the pesticide poisoning and others .

在早期处理方面还应注意观察和防治喉头水肿，急性胃扩张等病症。

At the early stage , attention should be paid to the prevention and treatment of throat edema and acute stomach dilatation , etc.

结论：急性胃扩张少见，临床表现不典型，误诊率高。

Conclusions : Acute gastric dilatation is rare , rapidly progressive and fatal acute abdomeninal condition with atypical clinical manifestations and high misdiagnosis rate .

结论：对农药中毒及其它原因引起的急性胃扩张进行积极的手术治疗不失为挽救生命的有效措施之一。

Conclusion : Active operation treatment is one of the effective lifesaving measures for acute stomach dilatation produced by the pesticide poisoning and o the rs.

方法：对21例急性胃扩张的病因、临床表现、诊断、手术适应证、手术方法和手术结果进行回顾性分析。

Methods : The pathogenesis , clinical manifestations , diagnosis , operation indications , operative methods and results for 21 cases of acute stomach dilatation were analyzed retrospectively .

结论术前持续胃肠减压可明显减少胸腔手术后急性胃扩张的发生，建议胸腔手术前常规进行持续胃肠减压。

Conclusions As continuous gastrointestinal decompression before operation may obviously decrease the occurrence of acute gastric dilatation after chest cavity surgery , it should be suggested as the routine .

结果148例食管癌全部手术切除，食管胃弓上器械吻合，发生吻合口瘘1例，急性胃扩张2例，其余痊愈出院。

Results : All of 148 patients of esophagus cancer were operated with esophagogastric anastomosis above aorta arch . They have recovered except 1 esophageal fistula and 2 acute gasterectasis .

由胃内压升高导致胃壁血管功障碍是急性胃扩张发病的关键因素，胃腔过度膨胀所致胃壁坏死穿孔是急性胃扩张最严重的并发症，其死亡率极高。

Gastric necrosis is the most severe consequence of acute gastric dilatation and its mortality rate is terribly high . vascular insufficiency secondary to increased intragastric pressure is the critical factor .

目的：探讨食管切除术后急性胸胃扩张（acutethoracicgastricdilatation，ATGD）的病因和防治对策。

Objective : To explore the etiology , prevention and treatment of acute thoracic gastric dilatation ( ATGD ) .

食管切除术后急性胸胃扩张16例临床分析

Acute thoracic gastric dilatation after esophagectomy : A Clinical analysis of 16 cases