Appel A, Heinrich M, Brettel H F
Chirurg. 1975 Jul;46(7):331-4.
Perforation of the rectum during a barium enema can be catastrophic. Most reports and in our experience too, the lethality in these patients is more than 50%. This effect of barium is not widely appreciated. Injections of barium sulfate with faeces, of commercial barium both sterile and unsterile into the peritoneal cavity and barium perforation were fatal in 20--48 hours in the dog without further treatment. This study shows that the repair of a barium perforation should be considered as one of the most important emergency procedures. Operative methods and problems are described.
钡剂灌肠时直肠穿孔可能是灾难性的。大多数报道以及我们的经验也表明，这些患者的死亡率超过50%。钡剂的这种影响并未得到广泛认识。将硫酸钡与粪便一起注入、将无菌和非无菌的市售钡剂注入腹腔以及钡剂穿孔在狗身上如果不进一步治疗，在20至48小时内是致命的。这项研究表明，钡剂穿孔的修复应被视为最重要的急诊手术之一。文中描述了手术方法及问题。
