消化道泛影葡胺造影对肠梗阻的诊断价值  

Value of gastrografin-contrast gastrointestinal series in diagnosis of gastro-intestinal obstruction

作　　者：韩广秀[1] 董印[1] 孟繁禄[1] 路淮英[1] 王元国[1] 

机构地区：[1]山东大学附属省立医院医学影像科,山东济南250021

出　　处：《医学影像学杂志》2008年第10期1160-1162,共3页Journal of Medical Imaging

摘　　要：目的：探讨消化道泛影葡胺造影对肠梗阻的诊断价值。方法：选取19例临床拟诊肠梗阻病例,碘过敏试验均为阴性,将76%的泛影葡胺注射液60～100ml加等量生理盐水稀释,经口服或鼻胃管注入胃内,进行透视观察。结果：19例患者应用泛影葡胺造影后,胃肠道均显影良好。15例为机械性肠梗阻,1例为肠功能紊乱,3例排除肠梗阻。机械性肠梗阻病例中5例为肿瘤所致;9例为粘连性肠梗阻。粘连性肠梗阻中2例在检查过程中症状即有明显缓解。结论：消化道泛影葡胺造影检查能较好地反映胃肠道功能状态,对肠梗阻病因、病变部位的诊断具有较好的临床应用价值。Objective：This study aimed at evaluating the effectiveness of gastrografin in gastro-intestinal obstruction when barium was contraindication. Methods：Patients with symptoms of gastro-intestinal obstruction were given 60 - 100 mL of gastrografin mixed by the same amount of 0.9% NaCl solution through nasogastric tube or orally followed by serial abdominal radiographs. Results：The guts were clearly demonstrated in all these nineteen patients, of whom fifteen were mechanical obstruction, one was gastrointestinal dysfunction, and three were ruled out the possibitity of obstruction. Of the fifteen patients with obstruction, five were caused by fumor, nine were due to adhesion in which two felt relief during the examination. Conclusion： The use of gastrografin in gastro-intestinal obstruction offers a good demonstration of pathophysiological situation of gastrointestbml tract and gives rise to primary disease or exact location of lesion.

关 键 词：肠梗阻 消化道造影 泛影葡胺 

分 类 号：R574.2[医药卫生—消化系统] R814.43[医药卫生—内科学]