Objective To analyze the effect of meglumine diatrizoate on diagnosing and treating adhesiveness small intestinal obstruction. Methods The clinic data of 484 cases of adhesiveness small intestinal obstruction were analyzed retrospectively. Those patients were treated with radiography with 76% of meglumine diatrizoate by orally or injected. Results After taking meglumine diatrizoate, 362 patients were cured, and the other 122 cases were diagnosed clearly and treated with surgery. Conclusions Meglumine diatrizoate can be used to diagnose adhesiveness small intestinal obstruction and confirm where the obstruction is. It can be the routine treatment for adhesiveness small intestinal obstruction and can be used repeatedly. It also can provide evidence to surgical treatment and guide to make the surgical project.
目的 觀察泛影葡胺在粘連性腸梗阻中的診斷及治療效果和手術時機的選擇。方法 對137例粘連性腸梗阻患者經胃管注入76%泛影葡胺60~100 ml行胃腸道造影，通過腹部X線攝片動態觀察造影劑在胃腸道中的位置及通過情況，以確定梗阻部位以及梗阻是否完全，從而確定手術時機。結果 137例中103例造影劑在6~24 h后到達結腸而給予保守治療，平均癥狀緩解時間為14.8 h，1~6 d (平均3.3 d)后癥狀消失。另34例見造影劑不能到達結腸且癥狀體征加重而行手術治療,痊愈。結論 泛影葡胺胃腸道造影在對粘連性腸梗阻明確梗阻部位及手術時機的選擇方面有很好的指導作用，可作為臨床醫師診斷與治療粘連性腸梗阻的一種手段。