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儿童期静脉胆管造影术(作者译)

[Intravenous cholangio-cystography during childhood (author's transl)].

作者信息

Fahr K, Oppermann H C, Willich E

出版信息

Rofo. 1977 Jun;126(6):571-6. doi: 10.1055/s-0029-1230640.

Abstract

Twenty-five intravenous cholangio-cystograms were carried out in children aged 2 to 15 years (10 by injection, 15 by infusion). Total bilirubin, GOT, GPT, GLDH and alkaline phosphatase were determined before and after injection of the contrast medium. The contrast media used were "Biligram for infusion" (17%) and "biligram for injection" (35%). Contrast dose per kilo body weight depends on the age of the patient: a) For infusion: infants 1.6 ml/kg/KG, small children 1.2 ml/kgKG, older children 0.8 ml/kg/KG. b) for injection: infants 0.8 ml/kg/KG, small children 0.6 ml/kg/KG, older children 0.4 ml/kg/KG. Both methods, in the above doses, provided good demonstration of the biliary tree and gall bladder. Films were taken at 30 minutes, 60 minutes and 90 minutes after the end of the injection, and 40 minutes after a fatty meal. No allergic reactions were observed, nor any effect on the liver enzymes.

摘要

对2至15岁的儿童进行了25次静脉胆管造影(10次为注射法,15次为输注法)。在注射造影剂前后测定总胆红素、谷草转氨酶、谷丙转氨酶、谷氨酸脱氢酶和碱性磷酸酶。使用的造影剂为“输注用胆影葡胺”(17%)和“注射用胆影葡胺”(35%)。每公斤体重的造影剂剂量取决于患者年龄:a)输注法:婴儿1.6毫升/千克体重,幼儿1.2毫升/千克体重,大龄儿童0.8毫升/千克体重。b)注射法:婴儿0.8毫升/千克体重,幼儿0.6毫升/千克体重,大龄儿童0.4毫升/千克体重。以上述剂量使用这两种方法均能很好地显示胆管树和胆囊。在注射结束后30分钟、60分钟和90分钟以及进食脂肪餐后40分钟拍摄X光片。未观察到过敏反应,对肝酶也无任何影响。

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