CAJ | 학술논문

目的：探讨口服甘露醇溶液和肌内注射山莨菪碱在磁共振小肠造影中的应用效果。方法在充分肠道清洁后，患者行磁共振小肠造影前口服2.5%等渗甘露醇溶液2000 mL，肌内注射山莨菪碱。观察患者不良反应发生情况、图像质量和小肠扩张效果。结果本组29例患者均顺利完成检查，图像质量优良率100.0%。2例出现轻度恶心。结论在充分肠道清洁后，行磁共振小肠造影检查前口服2.5%等渗甘露醇溶液和肌内注射山莨菪碱，可使小肠充分扩张，使造影图像达到满意的成像效果，从而提高小肠病变的诊断质量。
목적：탐토구복감로순용액화기내주사산랑탕감재자공진소장조영중적응용효과。방법재충분장도청길후，환자행자공진소장조영전구복2.5%등삼감로순용액2000 mL，기내주사산랑탕감。관찰환자불량반응발생정황、도상질량화소장확장효과。결과본조29례환자균순리완성검사，도상질량우량솔100.0%。2례출현경도악심。결론재충분장도청길후，행자공진소장조영검사전구복2.5%등삼감로순용액화기내주사산랑탕감，가사소장충분확장，사조영도상체도만의적성상효과，종이제고소장병변적진단질량。
ObjectiveTo study the effects of oral administration of mannitol and intramuscular injection of anisodamine in magnetic resonance enteroclysis.Methods After complete intestinal cleaning,29 patients undergoing magnetic resonance enteroclysis were orally administered with 5% oral isotonic mannitol solution 2000 mL and treated with intramuscular injection of anisodamine before the operation.The adverse reactions were observed,the image quality was inspected and the dilatation of small bowel was detected.Results All of the patients lived through the magnetic resonance enteroclysis.Two patients contracted Crohn’s disease with mild nausea consciousness.Conclusion For magnetic resonance imaging,preoperative oral administration of 2.5% oral isotonic mannitol solution and intramuscular injection of anisodamine after complete intestinal cleaning is beneficial for fully expanding the small intestine,achieving quality imaging and therefore improving the diagnosis of small intestinal lesions.