外伤致难治性胃瘫1例

One Case of Intractable Gastroparesis Caused by Trauma

摘要: 患者男，48岁，腹部外伤1周，腹部隐痛伴恶心、呕吐5天，入院胃镜检查示：胃窦部慢性浅表性胃炎。X线钡餐检查考虑：胃排空功能障碍。给于禁饮食，持续胃肠减压，营养支持，对症治疗。住院期间出现胃窦部急性溃疡出血，在内镜下行内镜下钛夹止血治疗。术后积极治疗，胃排空功能恢复期长至2月。

Abstract: A 48 years old man had abdominal trauma for 1 week, abdominal pain with nausea and emesis for 5 days. Examination of admission by gastroscopy showed that he had chronic superficial gastritis of the gastric antrum. X-ray barium radiography showed functional delayed gastric emptying. The treatment method included adjacent therapy with prohibiting eating, continuous gastrointestinal decompression and nutritional support. During hospitalization, he had gastrointestinal acute ulcer bleeding, so we adopted the treatment of endoscopic titanium clip hemostasis. After active treatment, gastric emptying function recovery lasted for about 2 mouths.