摘要
目的探讨口服泛影葡胺造影检查在粘连性小肠梗阻中的诊断及治疗价值。方法 48例粘连性小肠梗阻患者口服76%泛影葡胺60-100 ml,行胃肠道造影检查,动态观察造影剂在胃肠道中的位置及通过情况,确定梗阻部位及梗阻的具体情况。结果 38例患者造影剂在6-24 h后到达结肠,肠梗阻症状消失,另10例患者造影剂未到达结肠,症状、体征加重而行手术治疗,均获痊愈。结论口服泛影葡胺造影检查可以有效缩短肠梗阻缓解时间及住院时间,是治疗粘连性小肠梗阻的一种安全有效的方法,同时可以为早期手术提供线索。
Objective To explore diagnostic and treatment value of oral gastrografin contrast examination in adhesive small bowel obstruction. Methods Oral 76% gastrografin by 60-100 ml was given to 48 adhesive small bowel obstruction patients. Gastrointestinal contrast examination was performed, and the location of contrast agent in the gastrointestinal tract was observed dynamically to determine obstruction position and condition. Results In 38 cases, the contrast agent reached colon in 6-24 h, with disappearance of intestinal obstruction symptom. In the other 10 cases, the contrast agent did not reach colon. They underwent surgery due to exacerbation of symptom and signs, and they were all cured. Conclusion Oral gastrografin contrast examination can effectively reduce intestinal obstruction remission time and hospital stays. It is a safe and effective method for treating adhesive small bowel obstruction, and can provide clues for early surgery.
出处
《中国实用医药》
2015年第5期36-37,共2页
China Practical Medicine
关键词
泛影葡胺
造影检查
粘连性小肠梗阻
Gastrografin
Contrast examination
Adhesive small bowel obstruction
