摘要
目的探讨泛影葡胺在粘连性小肠梗阻中的诊断及治疗效果和手术时机的选择。方法对51例粘连性小肠梗阻患者经胃管注入76％泛影葡胺60～100mL，行胃肠道造影，通过腹部x线摄片动态观察，造影剂在胃肠道中的位置及通过情况，以确定梗阻部位以及梗阻是否完全，从而确定手术时机。结果本组51例中，36例造影剂在6～24h后到达结肠而给予保守治疗，平均症状缓解时间为14．6h，1～4d（平均2．8d）后症状消失。另15例见造影剂不能到达结肠或症状、体征加重而行手术治疗，均获痊愈。结论泛影葡胺能促进肠梗阻缓解及缩短住院时间，同时还为早期手术提供科学依据。
Objective To observe Gastrografin in diagnosis and treatment of adhesive small bowel obstruction as well as to study the choice of operated opportunity. Methods 51 cases of such patients were given 76% Gastrografin meal 60 - 100 mL through gastric tube to make gastrointestinal tract imaging. Through GI tract X- ray, dynamic observation was taken to monitor the position of Gastrografin in intestine so as to obtain the location and severity of obstruction mad then to predict the value for the need of surgery. Results Thirty - six patients were given trial conservation treatment after 6 24 h when Gastrografin reached colon. The average symptomatic relief time was 14.6 hours. Obstruction resolved sub- sequently after 1- 4（average 2.8）days. The other 15 patients required surgical treatment subsequently because there was no relief or improvement. Conclusion The usage of Gastrografin can promote ileus mitigation and save time in hos- pital, at the same time provide the scientific basis for early surgery.
出处
《黑龙江医学》
2009年第12期912-913,共2页
Heilongjiang Medical Journal
关键词
泛影葡胺
小肠梗阻
Castrografin
Small bowel obstruction
