急性肠梗阻的临床诊治思路

The clinic diagnosis and treatment of acute intestinal obstruction with abdominal CT imaging scan

急性肠梗阻是临床常见病、多发病乃至危急重病。临床医生依据症状、体征及腹部立卧位平片可得出初步诊断。随着影像学等检查的进一步丰富,CT影像学已广泛应用于急性肠梗阻的临床诊断。临床医生应熟练掌握急性肠梗阻的影像学特征,亲自在电脑系统上带着临床思维动态阅读分析腹部CT影像,回答急性肠梗阻的5个关键临床问题,即“五定”,以便更好地指导临床,决策是否外科手术,取得更好的临床疗效,减少医疗风险。

Acute intestinal obstruction is a common,frequent and even critical disease in clinicpractice.Clinicians can give a presumptive diagnosis based on symptoms,signs and abdominal X-rayabdominal films.With the enrichment of imagingexaminations,CT scanhas been widely used in the clinical diagnosis of acute intestinal obstruction.Clinicians should master the imaging features of acute intestinal obstruction,analyze the abdominal CT images with clinical thinkingon the computer system,and answer the five key questions of acute intestinal obstruction-"five decisions",inordertobetter guide the clinical practice,make decisions about surgery,achieve better clinical treatment effects,and reduce medical risks.