【摘要】 目的 探讨腹部术后胃瘫的可能危险因素、诊断及治疗方法。 方法 对5例腹部术后胃瘫患者的潜在危险因素、临床表现、诊断方法、治疗手段进行回顾性分析。 结果 本组中胃瘫患者采用非手术疗法均治愈，最短的7天，最长的46天。经保守治疗后胃肠动力一般可在术后7周内恢复正常。 结论 胃瘫由多种因素诱发，诊断时必须排除机械性、器质性病变。胃镜、上消化道造影是诊断本病有价值的方法，采用促动力药物在内的保守支持治疗是治疗腹部术后胃瘫的有效手段，应避免再手术。

    关键词 腹部手术 胃瘫 诊断和治疗

    Diagnosis and treatment of gastroparesis after abdominal surgery

    Liu Yutan

    Department of General Surgery，Hospital of Magang General Co，Ma anshan243000.

    【Abstract】 Objective To investigate the possible risk factors，diagnosis and treatment of grastroparesis after abdominal surgery.Methods Potential risk factors，clinical manifestations and theraputic approaches of5cases with gastroparesis after abdominal operation were analyzed retrospectively.Results All patients were cured with nonopera-tive treatment，and the shortest time was for7days and the longest for46days.And normal gastrointestinal movement was achieved mostly in7weeks postoperative by conservative treatment.Conclusion Gastroparesis is induced by multiple factors ......