【摘要】 目的 探讨腹部手术后胃瘫的发病机制、诊断和治疗方法。方法 回顾性分析我院1994～2002年腹部手术后胃瘫患者的临床资料，包括临床表现、治疗方法和效果。结果 胃瘫发病时间为术后4～8天，17例患者均行非手术治疗，治疗20天以后胃肠功能恢复，无死亡病例。结论 各种腹部手术都可以发生胃瘫，其发病机制可能是多种因素共同作用的结果，诊断并不困难，应采取综合治疗的方法，注重心理治疗的作用。

    关键词 胃瘫 腹部手术

    Diagnosis and treatment of patients with postoperational gastroparesis

    Li Bin，He Weiren，Zhu Shanglin

    Central Hospital of Huangpu District，Shanghai200001.

    【Abstract】 Objective To explore the etiology，mechanism，diagnosis and treatment of postoperation gastroˉparesis after abdominal operation.Methods We retrospectively analyzed17patients with postoperation gastroparesis in our hospital from1994to2002.Results Postoperation gastroparesis usually occurred4～8days after operation.For more than3weeks after non-operation therapy all patients recovered.No patient died of this disease.Conclusion The mechanism of postoperation gastroparesis is not clear，but may have relation with vagectomy，gastrectomy，diaˉbetes et al.Gastrointestinal radiography and endoscopy are the important metho

    ds of diagnosis of postoperation gastroˉparesis and differential diagnosis with other isease.Gastrointestinal mobility can recur spontaneously after a long periˉod of medical therapy and there was no need for reoperation.Some drugs may have had a beneficial effect on the therˉapy.We should pay more atention to psychological therapy for this disease. ......