Wenz W, Noeldge G, Grosshans U M
Prakt Anaesth. 1979 Apr;14(2):138-47.
The incidence of complications in a consecutive series of 515 abdominal surgical operations was studied. Abdominal complications of varying degree of severity were observed in 62 cases (16%). They were of four types: haemorrhage, ileus, peritonitis and complications on the part of the biliary tract and pancreas. The use of radiological methods for detecting these complications is reviewed. Direct roentgenography is the method of choice in cases of suspected ileus, perforation or foreign body. Administration of contrast media should be reserved almost entirely to cases of stress ulcer and to distinguish between incomplete and complete ileus. If perforation of penetration is suspected only water-soluble contrast media should be used. Detection of a leaking anastomosis or an abscess is by injection of the fistula. The value of angiography for revealing a haemorrhage or embolism and for assessing the response to vasoactive agents is discussed.
对连续515例腹部外科手术的并发症发生率进行了研究。62例（16%）出现了不同严重程度的腹部并发症。并发症有四种类型：出血、肠梗阻、腹膜炎以及胆道和胰腺方面的并发症。本文综述了用于检测这些并发症的放射学方法。直接X线摄影是怀疑有肠梗阻、穿孔或异物时的首选方法。造影剂的使用几乎应完全限于应激性溃疡病例以及区分不完全性和完全性肠梗阻。如果怀疑有穿孔或穿透伤，仅应使用水溶性造影剂。通过瘘管注射来检测吻合口漏或脓肿。讨论了血管造影术在发现出血或栓塞以及评估对血管活性药物反应方面的价值。
