Riedl P, Dinstl K, Keminger K, Lechner G, Schiessel R
Rofo. 1976 Jan;124(1):48-51. doi: 10.1055/s-0029-1230280.
A Gastrografin test is described for diagnosing perforations and dehiscence of anastomoses in the gastro-intestinal tract by carrying out a simple urine analysis. False positive and false negative results can be avoided by obtaining radiographs of urine samples under standard conditions. The accuracy of the method was checked in 97 patients by comparing the results of the urine analysis with radiographic examinations and with the clinical course. From this, it appears that the test is reliable, simple and capable of being used anywhere. The test is therefore recommended a) where there is a lack of radiographic facilities, b) for immobile patients, c) where there is clinical suspicion of a perforation or dehiscence of an anastomosis in the absence of radiographic findings and d) in individual cases where the radiographic changes are positive.
本文描述了一种通过简单的尿液分析来诊断胃肠道吻合口穿孔和裂开的泛影葡胺试验。在标准条件下获取尿液样本的X线片可避免假阳性和假阴性结果。通过将尿液分析结果与X线检查结果及临床病程进行比较，对97例患者的该方法准确性进行了检验。由此可见，该试验可靠、简便且适用于任何场所。因此，推荐该试验用于以下情况：a）缺乏X线检查设备时；b）对于行动不便的患者；c）临床怀疑有吻合口穿孔或裂开但无X线检查结果时；d）个别X线改变呈阳性的病例。
