本文關(guān)鍵詞： 胃腸造影 排CT 應(yīng)用分析　出處：《基層醫(yī)學(xué)論壇》2016年34期 　論文類型：期刊論文

【摘要】：目的探討等滲甘露醇在320排容積CT胃腸檢查中的應(yīng)用價值。方法選取60例臨床疑似胃腸病變患者,口服等滲甘露醇、肌注山莨菪堿(654-2)后行全腹部320排CT平掃+增強掃描,觀察胃腸充盈管腔擴張度、管壁厚度及胃腸病變顯示能力。結(jié)果 60例患者均順利完成檢查,無明顯不良反應(yīng)及并發(fā)癥,胃腸均能適度擴張充盈,氣糞干擾較少,胃壁腸壁清晰可見,腸袋變平變淺,腸間脂肪間隙均顯示較好,均達到胃腸道CT診斷要求。60例患者中,23例發(fā)現(xiàn)腹部腫塊,15例發(fā)現(xiàn)腸道炎癥,2例發(fā)現(xiàn)闌尾區(qū)膿腫,20例未見異常。結(jié)論采用口服2.5%等滲甘露醇、肌注654-2胃腸道準備后行腹部CT掃描,簡單易行,安全可靠,能更好地充盈胃腸道,三維立體顯示胃腸本身及胃腸周圍結(jié)構(gòu),明顯挺高了胃腸道病變的檢出率,易被患者接受,值得進一步推廣及研究。
[Abstract]:Objective to evaluate the clinical value of isosmotic mannitol in 320 row volume CT gastrointestinal examination. Methods 60 patients with suspected gastrointestinal lesions were treated with isosmotic mannitol intramuscularly injected with anisodamine (654-2). Results 60 patients completed the examination successfully. There were no obvious adverse reactions and complications. The intestinal wall of the stomach wall was clearly visible, the intestinal pouch flattened and the interspace of interintestinal fat showed better. All patients met the diagnostic requirements of gastrointestinal CT. 23 cases found abdominal mass 15 cases found intestinal inflammation 2 cases found appendiceal abscess in 20 cases. Conclusion the abdominal CT scan was performed by oral administration of 2.5% isoosmotic mannitol and intramuscular injection of 654-2 before gastrointestinal preparation. It is simple, safe and reliable, can better fill the gastrointestinal tract, three-dimensional display of gastrointestinal itself and its surrounding structure, obviously high detection rate of gastrointestinal lesions, easy to be accepted by patients, worthy of further promotion and research.
【作者單位】： 三明市第一醫(yī)院;
【分類號】：R816.5

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1 龍偉;;低張等滲甘露醇在CT檢查腸道準備中的效果[J];中外醫(yī)療;2011年10期

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