论文部分内容阅读
急性胆囊炎发生在其他疾病的住院病人中被认为是一个相对常见的严重并发症，其诊断是困难的。常规的影像学检查如超声、CT和放射性核素胆道闪烁造影术（RC）都有较高的假阳性率，作者报告了8年来应用吗啡胆道闪烁造影术（MC）在诊断中的价值。研究对象共163人，分为3组进行分析：（Ⅰ）急性腹痛53人：（Ⅱ）因其他疾病而住院者49人；（Ⅲ）ICU中的危重病人61人。所有病人均疑有急性胆囊炎而行标准RC，且30～60分钟内胆囊均末显影。然后静脉注射硫酸吗啡(0.05-0.1mg/kg)，连续摄片至150分钟，即行MC。
Acute cholecystitis in hospitalized patients with other diseases is considered to be a relatively common serious complication, the diagnosis is difficult. Routine imaging studies such as ultrasound, CT, and radionuclide cholangiography (RC) have a high false-positive rate and the authors report the value of morphine-based cholangiopancreatography (MC) in the diagnosis of the past eight years. A total of 163 subjects were divided into three groups for analysis: (I) 53 patients with acute abdominal pain: (II) 49 hospitalized for other diseases; and (III) 61 critically ill patients in the ICU. All patients were suspected of acute cholecystitis line standard RC, and 30 to 60 minutes were the end of the development of the gallbladder. Then intravenous injection of morphine sulfate (0.05-0.1mg / kg), continuous radiography to 150 minutes, the line MC.