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不明原因的胃肠道出血病人常要作小肠检查。对上胃肠道和结肠未能检出出血源者,有人主张作小肠灌肠,然就临床而言,对此项检查之效果尚不甚了然。本文对此作进一步研讨。材料与方法:复习136例共1145次小肠灌肠以决定其适应症。其中125例主要指征为胃肠道出血者作为本文之基础,复习病史以明确出血之特定类型、腹部症状及体征、实验室检查所见,以及内镜、上胃肠道X 线检查、钡灌肠、腹部血管造影、核素标记显象等结果。甲基纤维素溶液作为小肠灌肠双对比剂。结果:除7例仅作小肠灌肠外,余118例在小肠灌肠前作了不同的诊断显象检查,均提示有急性和慢性胃肠道失血。灌肠发现小肠病变,予以特定治疗后,胃
Unconscious gastrointestinal bleeding patients often need to make small bowel examination. On the gastrointestinal tract and colon failed to detect bleeding, some people advocate for small intestine enema, but clinically speaking, the effect of this test is not yet clear. This article for further discussion. Materials and Methods: A total of 1143 small intestine enemas were reviewed to determine their indications. 125 cases of which were mainly indications of gastrointestinal bleeding as the basis of this article, reviewed the medical history to determine the specific type of bleeding, abdominal symptoms and signs, laboratory findings, as well as endoscopic, upper gastrointestinal X-ray examination, barium Enema, abdominal angiography, radionuclide imaging and other results. Methyl cellulose solution as a small intestine enema double contrast agent. Results: Except for 7 cases only for small intestine enema, 118 cases were diagnosed by different diagnostic imaging before small intestine enema, both of which suggested acute and chronic gastrointestinal hemorrhage. Enema found in small bowel disease, to be specific treatment, the stomach