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目的:观察泛影葡胺在粘连性肠梗阻中诊断及治疗效果和手术时机的选择。方法:对66例粘连性肠梗阻患者经胃管注入76%泛影葡胺60~80 mL行胃肠道造影,通过腹部X线摄片动态观察泛影葡胺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是否完全,从而确定手术时机。结果:45例泛影葡胺造影剂在6~24 h后到达结肠而给予保守治疗,平均症状缓解时间为14.8 h,1~6 d(平均3.3 d)后症状消失;21例造影剂不能到达结肠且症状体征加重而行手术治疗痊愈。结论:泛影葡胺胃肠道造影对明确梗阻部位及选择手术时机有较好的指导作用,可作为临床医师诊断与治疗粘连性肠梗阻的一种手段。
Objective: To observe the diagnostic and therapeutic effect of diatrizoate meglumine in adhesive intestinal obstruction and the choice of operation timing. Methods: Sixty-six patients with adhesive intestinal obstruction were enrolled in this study. Gastrointestinal angiography was performed on 76-80% diatrizoate 60-80ml in the gastric tube. The location of the diatrizoate contrast agent in the gastrointestinal tract was dynamically observed by abdominal radiography And through the situation, to determine the obstruction site and obstruction is complete, in order to determine the timing of surgery. RESULTS: 45 cases of GPM reached the colon after 6 to 24 hours and received conservative treatment. The average time to symptom relief was 14.8 hours. After 1 to 6 days (mean 3.3 days), the symptoms disappeared. 21 cases of contrast medium could not reach Colon and symptoms and signs of exacerbation surgery cured. CONCLUSION: GTPGA has a good guiding function for the definite obstruction site and the timing of the operation. It can be used as a clinician to diagnose and treat the adhesive intestinal obstruction.