Culp W C
Radiology. 1975 Apr;115(1):9-12. doi: 10.1148/115.1.9.
High fecal impaction resulted in complete bowel obstruction in 2 children following renal transplantation and in one adult on chemotherapy and narcotics. The usual methods of relief failed, and water-soluble contrast enemas with a high osmolality were employed. Fluoroscopic control assured placement of the enema fluid at the site of obstruction, where it was very effective in relieving the impaction. It is suggested that such high-osmolality enemas be considered in patients with severe high fecal impactions before surgery is contemplated.
严重的粪便嵌塞导致2例肾移植儿童和1例接受化疗及使用麻醉药的成人出现完全性肠梗阻。常规的缓解方法均告失败，于是采用了高渗性水溶性造影剂灌肠。在荧光镜控制下确保灌肠液到达梗阻部位，该方法在缓解嵌塞方面非常有效。建议在考虑对严重粪便嵌塞患者进行手术前，可考虑使用这种高渗性灌肠剂。
