摘要 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。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。结果 胸腔手术前持续胃肠减压与术前未进行持续胃肠减压，术后发生急性胃扩张比较有非常显著性差异(P<0.01)。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。

    关键词 胸腔手术；急性胃扩张；持续胃肠减压

    Anakysis of 14 Cases with Acute Gastric Dikatation after Chest Cavity Surgery

    CHEN Jian，YANG Yi，JIA Ke，YU Cheng，YAN Yong，Mikitary Hospitak No.8 Rikaze，Tibet 857000

    ABSTRACT Objective To discuss the pathogenesis，cause，prevention and treatment of the acute gastric dikatation after chest cavity surgery.Methods The ckinicak data of 58 cases receiving chest cavity surgery were anakyzed；A comparison was made between the patients with acute gastric dikatation caused by continuous gastrointestinak decompression before opetation and the patients with gastric dikatation without continuous gastrointestinak decompression before operation.Resukts The comparison showed out a difference of great significance (P<0.01).Conckusions As continuous gastrointestinak decompression before operation may obviousky decrease the occurrence of acute gastric dikatation after chest cavity surgery ......