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诊断急性结肠假性梗阻方法的探讨
引用本文:王志纯,张德昌,马贵,李世红,舒竹,艾书跃.诊断急性结肠假性梗阻方法的探讨[J].南京军医学院学报,2000(3).
作者姓名:王志纯  张德昌  马贵  李世红  舒竹  艾书跃
作者单位:解放军第414医院放射线科!南京210015(王志纯,张德昌,马贵,李世红,舒竹),解放军第414医院影像学教研室!南京210015(艾书跃)
摘    要:目的 :选择检查急性结肠假性梗阻的有效方法。方法 :本组共收集 11例 ,全部病例摄X线平片 ,其中 1例碘水口服全消化道检查、2例钡剂灌肠检查、5例碘水灌肠检查、2例口服碘水 钡剂灌肠检查、1例碘水灌肠检查 纤维结肠镜检查。结果 :全组病例均未发现结肠病变 ,分别诊断为麻痹性或功能性结肠梗阻 (急性结肠假性梗阻 )。结论 :以碘水灌肠检查最为安全、方便 ,适应证广泛 ,是检查急性结肠假性梗阻的首选方法。

关 键 词:假性梗阻  结肠  急性  X线摄影术  碘水灌肠

Acute colonic pseudo-obstruction:exploration of diagnostic method
Wang Zhichun,Zhang Dechang,Ma Gui,Li Shihong,Shu Zhu,Ai Shuyue.Acute colonic pseudo-obstruction:exploration of diagnostic method[J].Journal of Nanjing Military Medical College,2000(3).
Authors:Wang Zhichun  Zhang Dechang  Ma Gui  Li Shihong  Shu Zhu  Ai Shuyue
Abstract:Objective:To choose an effective method for examining acute colonic pseudo-obstruction (ACPO). Methods:A total of 11 patients with ACPO were studied, and all their radiograms were available. During their contrast examinations, 1 patient had oral aqua iodide for alimentary series, 2 had barium enema, 5 had aqua iodide enema, 2 had oral aqua iodide enema and barium enema, 1 had aqua iodide enema and fibercolonscopy. Results:No colonopathy was found in all the patients. They were diagnosed as paralytic ileus or functional obstruction of colon ( i.e. ACPO), respectively. Conclusion:Aqua iodide enema is the safest and most convenient approach for the diagnosis of ACPO and it has wider indications. It is the first choice for the examination of ACPO.
Keywords:pseudo-obstruction  colonic  acute  radiography  aqua iodide enema
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