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作者在六所医院以薄层色谱法(TLC)检查来诊者尿标本或在腹泻时随机留检的尿标本.先以4甲基—乙戊醇:氯仿:醋酸(5:2:1)的溶剂检出阳性者再用已烷:甲苯:冰醋酸(3:1:1)确定缓泻剂的存在并诊断滥用缓泻剂所致腹泻(LID)。以前因无合适的检验方法而常被误诊,结果做了包括剖腹探查术等在内的不必要的处置并付出高额费用.本文将病例分为两组:第一组16例是两年时间里要求做常规缓泻剂筛查者。第二组中a49例是从一般开业医转到胃肠病门诊查找腹泻原因的.另
The authors examined urinalysis specimens from thin film chromatography (TLC) and urine samples randomly selected for diarrhea in six hospitals. The samples were washed with 4-methyl-ethanolamine: chloroform: acetic acid (5: 2: 1) Of the tested positive for solvent, then confirmed the presence of laxatives with hexane: toluene: glacial acetic acid (3: 1: 1) and diagnosed diarrhea due to abuse of laxatives (LIDs). In the past, because there was no suitable test method and was often misdiagnosed, the results did not include the laparotomy and other unnecessary disposal and pay a high cost.This paper divided the case into two groups: the first group of 16 patients is two years It requires routine laxative screening. The second group of a49 cases are from the general practitioners to the gastroenterology clinic to find the cause of diarrhea.