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目的探讨胃恶性肿瘤术后出现肠漏的原因。方法回顾性分析76例胃恶性肿瘤患者的临床资料。结果2例出现十二指肠残端漏,1例出现吻合口漏,均积极治疗后痊愈。结论防治十二指肠残端漏的关键是保持胃肠减压管的引流通畅,注意负压吸引管的压力不要太大,要经常观察引流量的情况;另外纠正患者营养状态也可减少吻合口漏发生。
Objective To investigate the causes of intestinal leakage after gastric cancer. Methods The clinical data of 76 patients with gastric malignancy were retrospectively analyzed. Results Duodenal stump leakage occurred in 2 cases and anastomotic leakage occurred in 1 case. All cases recovered after active treatment. Conclusion The key to prevention and treatment of duodenal stump leakage is to maintain the drainage of the gastrointestinal decompression tube. Pay attention to the pressure of the vacuum suction tube not to be too large. Observe the condition of the drainage regularly. Correcting the nutrition status of the patient can also reduce the anastomosis. Mouth leakage occurs.