腹部膨隆平片评估中的左侧位视图。

The left lateral view in the plain-film assessment of abdominal distension.

作者信息

Laufer I

出版信息

Radiology. 1976 May;119(2):265-9. doi: 10.1148/119.2.265.

DOI:10.1148/119.2.265

Abstract

Since the left lateral position facilitates the entry of air into the rectosigmoid, it has been employed in the plain-film evaluation of patients with abdominal distension. The value of this view is illustrated by examples of patients with (a) colonic ileus due to imipramine hydrochloride (Tofranil) or chlorpromazine, (b) partial mechanical obstruction due to diverticulitis, (c) involvement of the rectum by Hirschsprung's disease, and (d) sequential evaluation of a patient with clindamycin colitis. This simple maneuver is recommended for (a) evaluation of patients with plain-film evidence of low colonic obstruction, (b) problems of differential diagnosis between bowel obstruction and ileus, and (c) evaluation of patients with conditions affecting the rectosigmoid.

摘要

由于左侧卧位有利于空气进入直肠乙状结肠，因此已用于腹部膨隆患者的平片评估。通过以下患者实例可说明该体位的价值：（a）因盐酸丙咪嗪（托弗尼尔）或氯丙嗪导致的结肠麻痹性肠梗阻；（b）因憩室炎引起的部分机械性梗阻；（c）先天性巨结肠累及直肠；（d）对克林霉素结肠炎患者的连续评估。对于以下情况建议采用这种简单操作：（a）对有低位结肠梗阻平片证据的患者进行评估；（b）肠梗阻与麻痹性肠梗阻的鉴别诊断问题；（c）对影响直肠乙状结肠的疾病患者进行评估。