泛影葡胺在粘连性小肠梗阻中的临床应用

Therapeutic Value of Gastrografin in Adhesive Intestinal Obstruction

目的：探讨泛影葡胺在粘连性小肠梗阻中的诊断及治疗效果和手术时机的选择。方法：对51例粘连性小肠梗阻患者经胃管注A．76％泛影葡胺60-100ml，行胃肠道造影，通过腹部x线摄片动态观察造影剂在胃肠道中的位置及通过情况，以确定梗阻部位以及梗阻是否完全，从而确定手术时机。结果：51例中36例造影剂在6～24h后到达结肠而给予保守治疗，平均症状缓解时间为14．6h，1～4d（平均2．8d）后症状消失。另15例见造影剂不能到达结肠或症状体征加重而行手术治疗，均获痊愈。结论：泛影葡胺能促进肠梗阻缓解及缩短住院时间，同时还为早期手术提供科学依据。

Objective To observe the role of Gastrografin in diagnosis and treatment of adhesive small bowel obstruction as well as the basis of surgery. Methods 51 cases were injected with Gastrografin through gastric tube for 60~ 100 ml. Through line GI. Continuous observation was taken to monitor the Gastrografin position in intestine so that to obtain the spot and severity of obstruction and then to determine the basis of surgery. Results 36 cases showed remission of small bowel obstruction 6~ 24 h after the injection of Gastrografin The average symptomatic relief time were 14.6 hours and thoroughly cured within 1~4 （average2.8）days; The other 15 cases underwent operation whose symptom and signs had no relief or improved. All cases gained recovery. Conclusion Gastrografin can promote ileus mitigation and shorten hospital stay, and also to provide the scientific basis for early surgery.