【求助】关于肠梗阻钡剂造影的问题
这个帖子发布于 17 年零 68 天前，其中的信息可能已发生改变或有所发展。
小弟有个疑问
7年制《外科学》594页上描述“钡灌肠可用于疑有结肠梗阻的病人，....但在小肠梗阻时忌用胃肠造影的方法，以免加重病情”
《哈里森内科学》15版1704页上则说“Barium given by mouth is perfectly safe when obstruction is in the small intestine,since the barium sulfate doesn't become inspissated in this location.Barium should never be given by mouth to a patient with possible colonic obstruction until that possibility is excluded by barium enema ”.
这两个说法似呼有些矛盾啊，心理疑惑！！排除了结肠梗阻怀疑小肠梗阻的病人是否可以用口服钡剂造影呢？一个说会加重病情，一个说perfectly safe
7年制《外科学》594页上描述“钡灌肠可用于疑有结肠梗阻的病人，....但在小肠梗阻时忌用胃肠造影的方法，以免加重病情”
《哈里森内科学》15版1704页上则说“Barium given by mouth is perfectly safe when obstruction is in the small intestine,since the barium sulfate doesn't become inspissated in this location.Barium should never be given by mouth to a patient with possible colonic obstruction until that possibility is excluded by barium enema ”.
这两个说法似呼有些矛盾啊，心理疑惑！！排除了结肠梗阻怀疑小肠梗阻的病人是否可以用口服钡剂造影呢？一个说会加重病情，一个说perfectly safe
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