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find Keyword "腹部CT" 3 results
  • Clinical Application of Artificial Pneumoperitoneum and Gastrointestinal Contrast CT Imaging in Diagnosis of Abdominal Wall Adhesion to Intestine after Operation

    ObjectiveTo explore the feasibility and safety of the artificial pneumoperitoneum and gastrointestinal contrast CT imaging, and imaging diagnostic value on abdominal wall adhesion to intestine after operation. MethodsThirtynine patients with adhesive intestinal obstruction after operation relieved by conservative therapy were included from January 2008 to November 2009. After the artificial pneumoperitoneum established by injection of gas into abdominal cavity and gastrointestinal comparison by oral administration low concentration of meglucamine diatrizoate, CT scan imaging was performed and the radiographic results were compared with surgical findings. ResultsFour patients refused surgery and discharged, so enterolysis was performed in the remaining patients. The surgical findings were consistent with radiographic results. It was showed by laparoscopic operation that intestinal obstruction caused by the fibrous adhesions and the intestine did not adhere to the abdominal wall in eight patients with fibrous adhesion diagnosed by CT. Of eighteen patients with the abdominal wall septally adhered to the intestinal, the surgical findings showed the intestine and the abdominal wall formed “M”type adhesions and omentum adhesions in sixteen patients underwent open operation, and clear fat space was showed in eight patients and close adhesion was found in another eight patients between the intestine and abdominal wall. Of thirteen patients with the abdominal wall tentiformly adhered to the intestinal, the surgical findings showed the intestine and the abdominal wall formed continuous and tentiform adhesions and omentum adhesions to the intestine in eleven patients. After the followup of 6-18 months (mean 9 months), incomplete intestinal obstruction occurred in one patient and was relieved by conservative treatment. One patient with discontinuous discomfort in abdomen after operation did not receive any treatment. The other patients were cured. ConclusionThe artificial pneumoperitoneum and gastrointestinal contrast CT imaging can accurately show the location, area, and structure composition of the postoperative abdominal wall adhesion to intestine, which is safety, simple, and bly repeatable, and a better imaging method for the diagnosing of abdominal wall adhesion to intestine after operation.

    Release date:2016-09-08 10:46 Export PDF Favorites Scan
  • Systemic Lupus Erythematosus Patients with Acute Abdomen: A Report of 20 Cases and Literature Review

    【摘要】 目的 提高对系统性红斑狼疮(SLE)并发急腹症(AA)临床复杂性的认识,总结诊治经验。方法 对2008年以来收治20例系统性红斑狼疮并发急腹症的患者进行回顾性分析,并复习近9年相关文献。结果 系统性红斑狼疮住院患者中并发急腹症发生率2.56%;急腹症多数(80%)与系统性红斑狼疮病情活动相关,也可能由独立于系统性红斑狼疮的其他疾病引起(20%),病情复杂,容易误诊。腹部CT尤其是增强CT检查对确定系统性红斑狼疮相关急腹症病因有重要作用。结论 系统性红斑狼疮活动是系统性红斑狼疮并发急腹症最主要的原因,SLEDAI评分在系统性红斑狼疮并发急腹症鉴别诊断中有一定作用。及时诊断、正确治疗后,系统性红斑狼疮活动相关急腹症患者的预后较好。

    Release date:2016-09-08 09:37 Export PDF Favorites Scan
  • 腹部CT检查前患者的心理分析及护理干预

    【摘要】 目的 总结腹部CT检查患者的心理状态,各项护理措施在检查中的作用。 方法 2009年2-6月在接受腹部CT检查的590例患者按CT检查单的单双号分为常规组与指导组,常规组按常规方法进行检查前护理,指导组在常规处理基础上进行详细心理指导,并记录充分水化及CT增强检查同意书签署情况。 结果 指导组充分水化与CT增强检查同意书签署情况均高于常规组。 结论 CT检查前充分了解患者的心理状态,进行细致的观察,给予适当的护理措施,能有效地保证CT检查的顺利完成。

    Release date:2016-09-08 09:50 Export PDF Favorites Scan
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