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Integrative Medicine postoperative functional gastric emptying of 58 cases

Early postoperative gastric rare complication of gastric South stomach itself or dominate the functional activity of endocrine factors. Easily be mistaken for match days, jejunal input and output loop obstruction. Clinical treatment is very difficult. If not treated will lead to serious water and electrolyte imbalance in patients, and even puts in jeopardy the lives of patients. Integrated Traditional and Western methods used to treat the disease better effect, the Court now cured 58 cases information as a clinical data summary report 1. I General Information of this group 58 patients, 43 males. L5 cases female; aged 38 to 76 years, mean 56 years; primary disease: gastric,[link widoczny dla zalogowanych], duodenal ulcer in 26 cases,[link widoczny dla zalogowanych], 32 cases of gastric cancer; surgical method: I Pichia gastrojejunostomy anastomosis in 18 patients. Pichia Ⅱ anastomosis in 29 cases, jejunum Ronx-Y gastric side anastomosis 1l; appear functional gastric emptying time: 7d in 25 cases. 8 ~ 12d17 side, 13 ~ 18dl1 cases ,19-27, / 5 cases. 1.2 The diagnostic criteria for gastrointestinal surgery 5 ~ 7d. Should return to normal gastrointestinal function in patients with abdominal distention occurred before, rather then nausea, frequent vomiting,[link widoczny dla zalogowanych], stomach contents of green grass, a large number of gastric aspiration during gastric tube; or in the postoperative bowel recovery. Pull out the tube has been able to eat normally after the patient flow of juice. Bu then H {is described symptoms: physical examination see above abdominal fullness. Vibration of water of gastric tone. J second light left abdominal tenderness without muscle tension. Ming oral bowel sounds thin weak line of x-ray contrast barium see gastric dilatation, gastric retention, a small amount of barium through the stoma, a fluid plane. After 2 weeks of fiberoptic endoscopy town. Anastomotic obstruction can be found without further treatment for the clinical diagnosis of 2 ~ Dan functional gastric emptying occurred and taken by the relevant diagnosed after treatment of Integrative Medicine. Specific methods are as follows: All patients were immediately line decompression, supportive therapy and maintenance of water and electrolyte balance, comprehensive treatment measures, such as may be appropriate in patients with poor general condition, plasma transport, since the protein, fat emulsion and amino acids. And may lose a few times - *. . University of cable in the grip just drug impaired persons well j Ying and the stomach, pass in the capture of Herbal decoction. 2h after injection of each of clamping the tube 131. 6 times injection. Injection time point injection metoclopramide should be carried out after about 30rain. To promote traditional Chinese medicine into the intestinal absorption. Commonly used Chinese medicine for the system of rhubarb 20g, tangerine peel lOg, Divine Comedy, 20g,[link widoczny dla zalogowanych], Fructus 15g, woody lOg, radish seed 20g, Coptis 3g, system Pinellia 6g, Bupleurum lOg, Inula flower 10g. TPG log. 30g Jianshui another enema to rhubarb. Every 132 to stomach 2h after injection of Chinese medicine decoction enema is appropriate. 3 patients on treatment results after treatment of abdominal fullness disappeared, anal exhaust recovery, conscious patients there is hunger. No abdominal distension and nausea after eating, vomiting, stomach pulled over after the symptoms have not been. x-ray examination showed good gastric motility, gastric emptying of normal barium is the clinical cure. The 58 patients were clinically cured guillotine,[link widoczny dla zalogowanych], in which 26 cases were cured 3 ~ 5d, 6 ~ 9d 21 cases were cured, 10d l1 cases cured over the longest time to heal 27d. 6 patients and feeding tube pulled out too early in the healing flow of juice and then emptying dysfunction occurred again for the Aged. 3 patients due to longer course, general condition shame the line jejunum ostomy plate. 4 Discussion of the stomach complications after gastric emptying emptying the residual non-mechanical dysfunction, there is no obvious mechanical obstruction of Integrated Traditional and Western presence in the conservative treatment indications should be strictly controlled. For various reasons due to mechanical obstruction anastomosis surgical treatment should be taken immediately by the clinical study 58 patients. We found that the use of Chinese and Western medicine therapy to treat the disease, not only played a modern medical nutrition therapy advantages, but also reflects the country medicine Its efficacy is superior to traditional western medicine, there is a high clinical value I
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