CAJ | 학술논문

目的总结46例接受CT仿真小肠镜检查患者的检查前后护理体会.方法检杳前禁食10h,禁水2 h,便秘者检查前10 h口服50%硫酸镁或聚乙二醇电解质散剂清洁肠道;做碘过敏试验;留置胃管于十二指肠降部;经胃管向小肠注气1 000～1200 ml;检查后禁食2 h,出现腹胀、恶心、呕吐时对症处理.结果 46例受检患者在CT仿真小肠镜检查过程中,均未出现并发症.结论检查成功的关键是胃管放置保留于十二指肠降部.
목적 총결46례접수CT방진소장경검사환자적검사전후호리체회.방법 검묘전금식10h,금수2 h,편비자검사전10 h구복50%류산미혹취을이순전해질산제청길장도;주전과민시험;류치위관우십이지장강부;경위관향소장주기1 000～1200 ml;검사후금식2 h,출현복창、악심、구토시대증처리.결과 46례수검환자재CT방진소장경검사과정중,균미출현병발증.결론 검사성공적관건시위관방치보류우십이지장강부.
Objective To summarize the nursing experiences of 46 patients before and after the examination of computed tomographic virtual enteroscopy. Methods The patients accepted 10 hours of food deprivation before the examination, and water deprivation 2 hours before the examination. Patients with constipation orally took 50% magnesium sulfate or polyethylene glycol electrolyte powder for intestinal cleaning 10 hours before the examination. Before the examination all patients took iodine allergy test. Inserting gastric canal to descending duodenum, and venting 1 000 ～ 1 200 ml air through the gastric canal to the small intestine were conducted. The patients accepted another 2 hours of food deprivation after the examination, and symptomatic treatments were given to patients with the side effects of abdominal distension, vomiting and nausea. Results During the examination of the 46 patients undergoing computed tomographic virtual enteroscopy, no complication appeared. Conclusions The key point is to insert the gastric canal to the descending duodenum.