Beresneva E A, Selina I E, Pakhomova G V, Lebedev A G, Oranskiĭ A V
Scientific Research Institute of Emergency Care of NV Sklifosovskiĭ.
Vestn Rentgenol Radiol. 1997 May-Jun(3):51-2.
The paper deals with the results of using the nonionic water soluble contrast agents ultravist 300 and ultravist 370 (Schoring, Germany) to examine the gastrointestinal tract (GIT) in 21 patients with acute abdominal abnormality. GIT contrasting was made in 9 patients in the early postoperative period and in 12 patients on their admission to the Institute. The examinations revealed the high contrast rate of the above agent when administered into the stomach and upper small intestine, which excluded failure of gastroenteroanastomic sutures and the sutured gastric wall in 2 patients, established, in terms of gastric displacement and deformity, left-sided subdiaphragmatic abscess, and in terms of transposition of a portion of the gastric fornix into the pleural cavity, rupture of the left diaphragm, and to exclude diaphragmatic rupture with closed abdominal injury. The revealed important quality of ultravist within a short time (1-2 hours) to contrast the small intestine and enter the colon enabled differential diagnosis to be made between complete and partial small intestinal ileus and between early comissural small intestinal ileus and postoperative intestinal paresis. Ultravist contrast studies allowed the authors to avoid an emergency operative intervention and to follow up the resolution of ileus during medical therapy.
本文探讨了使用非离子型水溶性造影剂优维显300和优维显370（德国先灵公司）对21例急性腹部异常患者进行胃肠道检查的结果。9例患者在术后早期进行了胃肠道造影，12例患者在入院时进行了造影。检查发现，将上述造影剂注入胃和上段小肠时，造影效果良好，排除了2例胃肠吻合口缝线及缝合胃壁失败的情况，确定了因胃移位和变形导致的左侧膈下脓肿，以及因胃穹窿部分移位至胸腔导致的左侧膈肌破裂，并排除了闭合性腹部损伤导致的膈肌破裂。优维显在短时间内（1 - 2小时）显示出的重要特性，即能使小肠显影并进入结肠，有助于鉴别完全性和部分性小肠梗阻，以及早期粘连性小肠梗阻和术后肠麻痹。优维显造影研究使作者能够避免紧急手术干预，并在药物治疗期间跟踪肠梗阻的缓解情况。
