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目的探讨合并严重呼吸道疾病的老年胃癌患者手术时放置胃管和空肠营养管合适的途径。方法 10例合并严重呼吸道疾病的老年胃癌患者行胃癌根治、胃大部切除术,经空肠造口逆行放置胃管入残胃,顺行放置营养管达空肠下30cm,行残胃减压和肠内营养。结果患者均安全度过围手术期,恢复良好。结论导管不经过鼻咽部呼吸道,避免了手术后肺部疾病的加重以及由此而产生的并发症,对胃功能障碍和营养不良的患者可较长时间留置。
Objective To investigate the appropriate way to place gastric tube and jejunal feeding tube during operation in elderly patients with gastric cancer complicated with severe respiratory diseases. Methods 10 cases of elderly patients with severe respiratory diseases of gastric cancer radical gastrectomy, subtotal gastrectomy, retrograde placement of the stomach tube into the residual stomach through the jejunum stoma, placed under the nutrition tube of jejunum 30cm, gastric residual decompression and intestinal Internal nutrition. Results All patients were safely peri-operative and recovered well. Conclusions The catheter does not pass through the respiratory tract of the nasopharynx and avoids the aggravation of postoperative pulmonary diseases and the resulting complications. Patients with gastric dysfunction and malnutrition may be left for a long time.