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目的探讨食管癌术后胃瘫综合征发病原因、诊断及治疗方法和疗效,总结出预防措施。方法 32例食管癌术后胃瘫综合征患者,均行保守治疗,其中全胃肠外营养(totalparenteral nutrition,TPN)6例,部分肠内营养组26例。结果 TPN组2例发生食管吻合口瘘,经过45 d的保守治疗痊愈。其余4例患者均经保守治疗痊愈。在胃瘫综合征治疗期间,TPN组发生霉菌感染1例,锁骨下静脉穿刺管感染导致败血症1例;部分肠内营养组无并发症发生,均痊愈出院。平均治愈时间:TPN组(45±7.5)d;部分肠内营养组为(30±5.5)d。结论食管癌术后胃瘫综合征尽早明确诊断,行保守及营养支持治疗是首选治疗手段。
Objective To investigate the causes, diagnosis, treatment and efficacy of postoperative gastroparesis syndrome in esophageal cancer and to summarize the preventive measures. Methods Thirty - two patients with postoperative gastroparesis syndrome were treated conservatively, including 6 cases of total parenteral nutrition (TPN) and 26 cases of partial enteral nutrition. Results The esophageal anastomotic fistula was found in 2 cases of TPN group and was cured after 45 days of conservative treatment. The remaining 4 patients were cured by conservative treatment. During the treatment of gastroparesis syndrome, one case of mold infection occurred in the TPN group and one case of sepsis caused by subclavian puncture infection. No complications occurred in some enteral nutrition groups and all were cured. The average healing time was (45 ± 7.5) days in TPN group and (30 ± 5.5) days in partial enteral nutrition group. Conclusion Postoperative gastroparesis syndrome esophageal cancer as soon as possible a clear diagnosis, conservative and nutritional support treatment is the preferred treatment.