CAJ | 학술논문

目的：探讨泛影葡胺消化道造影在小儿肠梗阻中的应用价值。方法选取我院2012年1月~2014年1月收治入院的小儿肠梗阻患者行泛影葡胺消化道造影32例，进行透视观察。结果全部病例均清晰显示肠形态结构图像，对比剂充分充盈肠管；32例患者行泛影葡胺消化道造影后，机械性肠梗阻27例，粘连性肠梗阻4例，肠功能紊乱1例。其中29例患儿采用保守治疗成功，中转手术率9.38%，腹痛缓解时间（7.1±1.4）h；首次排便时间（24.4±1.2）h；住院天数（5.4±1.1）d；3例行手术治疗腹痛缓解时间（17.3±2.5）h；首次排便时间（38.2±3.1）h；住院天数（8.4±1.1）d。结论泛影葡胺消化道造影可区分小儿肠梗阻的类型，使用泛影葡胺行消化道造影对肠梗阻有较高的诊断价值，具有临床推广意义。
목적：탐토범영포알소화도조영재소인장경조중적응용개치。방법선취아원2012년1월~2014년1월수치입원적소인장경조환자행범영포알소화도조영32례，진행투시관찰。결과전부병례균청석현시장형태결구도상，대비제충분충영장관；32례환자행범영포알소화도조영후，궤계성장경조27례，점련성장경조4례，장공능문란1례。기중29례환인채용보수치료성공，중전수술솔9.38%，복통완해시간（7.1±1.4）h；수차배편시간（24.4±1.2）h；주원천수（5.4±1.1）d；3례행수술치료복통완해시간（17.3±2.5）h；수차배편시간（38.2±3.1）h；주원천수（8.4±1.1）d。결론범영포알소화도조영가구분소인장경조적류형，사용범영포알행소화도조영대장경조유교고적진단개치，구유림상추엄의의。
ObjectiveTo investigate the application value of meglumine diatrizoate in gastrointestinal-contrast for children with intestinal obstruction. Methods32 cases of children patients with intestinal obstruction were selected, who were given meglumine diatrizoate in gastrointestinal-contrast in our hospital from 2012 January to 2014 January.ResultsThe intestinal morphology image contrasts of all patients were clearly displayed, and the contrast agent was fully. 32 patients were treated with meglumine diatrizoate in gastrointestinal-contrast. There were 27 cases of mechanical intestinal obstruction, 4 cases of adhesive intestinal obstruction, and 1 case of intestinal dysfunction. 29 patients were successfully treated by conservative treatment, with the operation rate of 9.38%, the relief time of abdominal pain of (7.1±1.4) h, the time of first defecation of (24.4±1.2) h, and length of stay of (5.4 ±1.1) d. 3 cases were treated by operation, with pain relief time of (17.3±2.5) h, the time of first defecation of (38.2±3.1) h, and length of stay(8.4±1.1)d.ConclusionThe meglumine diatrizoate in gastrointestinal-contrast can distinguish the types of intestinal obstruction in children. Meglumine diatrizoate in gastrointestinal-contrast has high value in the diagnosis of intestinal obstruction, has clinical significance.