Diagnosis and treatment of acute gastric dilatation.docVIP

 PAGE \* MERGEFORMAT 7 Diagnosis and treatment of acute gastric dilatation Of: Li Hua, Wang Yong, Song Hui, Su Yue [Abstract] Objective To investigate the acute gastric dilatation in the diagnosis and treatment. Methods Retrospective analysis of 9 years, hospitalization due to acute gastric dilatation in 16 patients in the clinical information, review the typical clinical manifestations of the disease and treatment. Results There were 6 cases, Non-surgical treatment in 10 cases. Conclusion Clinical rare acute gastric dilatation, clinical performance was typical. If the line decompression did not improve or clear signs of peritonitis, surgical treatment should be positive. [Keywords:] gastric dilatation; diagnosis; treatment; prevention Clinical rare acute gastric dilatation, disease progression is rapid, serious consequences, mortality as high as 20%. Our hospital in January 2000 to June 2009 were treated 16 patients with acute gastric dilatation. Are summarized below. 1 Data and methods 1.1 General Information of this group 12 males and 4 females, aged 46 to 82 years, mean 64 years after surgery in 10 patients (including 8 cases of abdominal surgery, 1 case of intra-abdominal infections and 1 case of a large number of gas anesthesia into the stomach), 4 patients before onset of heavy drinking large quantities of food or a history of 2 patients without significant incentives. 1.2 The more common clinical manifestations of the disease 3 to 4 days after surgery, but surgery within 3 months after surgery can occur. Prominent symptom is abdominal pain, bloating, hiccups, vomiting, sepsis and systemic failure, persistent abdominal pain paroxysmal increase in 3 cases. full of the upper abdomen, abdominal distention accompanied by hiccups in 16 patients. vomiting frequently, non-jet-like, vomit-like solution for the coffee, or even dark black liquid, vomiting large and the stench of about 16 cases. there stomach 4 cases of 15 patients with symptom