[转帖]上消化道气钡双对比造影方法--详细步骤及图片实例。
<DIV class=t_msgfont id=message25002>mz5{ ~D {%F0T<DIV id=ad_thread3_1></DIV>造影前的准备:<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>1、 患者在钡餐检查前一天晚饭后禁食,次晨空腹至放射线科接受检查。如不禁食,胃内容物可影响胃肠形态的观察;服某些药物则可影响胃肠道功能。幽门梗阻患者,应先洗胃,抽净胃内容物后再检查。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>2、建议所有上消化道造影检查的病人都做双对比造影,如果病人不能合作或者很虚弱,可以选择单对比检查<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>3、跟患者交流:<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>a、临床症状。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>b、既往腹部外科病史。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>c、午夜后是否空腹。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>d、怀孕否(或者是否有可能)。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>4、根患者说明检查步骤及主要事项:如吞服产气粉时不要吐,避免打嗝等……<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>5、如果患者需要做咽部钡餐检查,那么在双对比完成后再做。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10429 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; LEFT: 228px; POSITION: absolute; TOP: 731px"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10429', 1);attachimg(this, 'mouseover')" style="CURSOR: pointer" onclick=zoom(this); onmouseout="attachimginfo(this, 'attach_10429', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378682817856.jpg" width=755 onload="attachimg(this, 'load');" resized="true"> :cy p3FvuTy&yW
<DIV class=t_attach id=attach_10429_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378682817856.jpg" target=_blank><STRONG><FONT color=#0000ff>1813202626670.jpg </FONT></STRONG></A>(254.30 K)<BR>P0e3tIGTd
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>检查方法:<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>1、患者站立于检查床,背靠床面,如不能站立可以让床倾斜30-45°。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>2、先做常规胸腹透检查,排除禁忌。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>3、吞服产气粉,少许凉水吞入,嘱患者不要打嗝,连续吞入,这个要看各个单位的具体操作方法。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>4、患者左手持硫酸钡液,取左后斜位(LPO)(注:本方位以床面为基准)。嘱患者先吞入1/2杯钡液,上下连续观察食道全程及贲门(双对比相)。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10430 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10430', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10430', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378689027038.jpg" onload="attachimg(this, 'load');">
<DIV class=t_attach id=attach_10430_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378689027038.jpg" target=_blank><STRONG><FONT color=#0000ff>181644345245.jpg </FONT></STRONG></A>(39.63 K)<BR>3~6u?R\"@zf
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>5、患者取右后斜位(RPO),再吞入剩余钡液,如需要正位可以适当更改方法。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10431 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10431', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10431', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378692135874.jpg" onload="attachimg(this, 'load');"> 6K"Z^)pU!@U
<DIV class=t_attach id=attach_10431_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378692135874.jpg" target=_blank><STRONG><FONT color=#0000ff>20080117_4cb2839b91cb6858c910MY9cKBe8eSws.jpg </FONT></STRONG></A>(40.39 K)<BR>
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN id=attach_10432 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10432', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10432', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378693741061.jpg" onload="attachimg(this, 'load');">
<DIV class=t_attach id=attach_10432_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378693741061.jpg" target=_blank><STRONG><FONT color=#0000ff>20080117_4dacd25f3a7989d39b0aguedDkr1DxuO.jpg </FONT></STRONG></A>(39.22 K)<BR>
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>6、取走空杯子,或者让患者放下杯子,把检查床放倒于水平位,给患者一枕头以休息头颈部。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>7、嘱患者做3次360°逆时针(从检查床足侧观察)翻身并停止于左后斜位;如果患者不能360°翻身,可以做3次来回双侧卧位的翻身(或者可以陪人帮助小完成)。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10433 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10433', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10433', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378695354787.jpg" onload="attachimg(this, 'load');">
<DIV class=t_attach id=attach_10433_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378695354787.jpg" target=_blank><STRONG><FONT color=#0000ff>20080117_8af204587a0bffacff68TTFO5vth6aFF.jpg </FONT></STRONG></A>(49.48 K)<BR>ND8WyL/X}:p+\/V
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>8、通过旋转体位获得4个部位的图像(点片,如果是数字胃肠就更好了)<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR> a、胃窦部(LPO)<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10434 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10434', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10434', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378696869131.jpg" onload="attachimg(this, 'load');"> /o;|*Ua&K#o,l5W$A
<DIV class=t_attach id=attach_10434_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378696869131.jpg" target=_blank><STRONG><FONT color=#0000ff>20080117_48b52f3e42bf24ec2241CN99qtlCkKWv.jpg </FONT></STRONG></A>(49.48 K)<BR>
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10435 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10435', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10435', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378696877435.jpg" onload="attachimg(this, 'load');">
<DIV class=t_attach id=attach_10435_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378696877435.jpg" target=_blank><STRONG><FONT color=#0000ff>20080117_4eaa9b4306402e9e2619JKjVLH2UBcSQ.jpg </FONT></STRONG></A>(48.36 K)<BR>(f$DcZq+a9F*L2^
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>b、胃体下部(AP)<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10436 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10436', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10436', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378698481801.jpg" onload="attachimg(this, 'load');">
<DIV class=t_attach id=attach_10436_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378698481801.jpg" target=_blank><STRONG><FONT color=#0000ff>181646585245.jpg </FONT></STRONG></A>(49.21 K)<BR>B/v!mT:E u
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10437 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10437', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10437', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378700097606.jpg" onload="attachimg(this, 'load');">
<DIV class=t_attach id=attach_10437_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/39378700097606.jpg" target=_blank><STRONG><FONT color=#0000ff>181648115245.jpg </FONT></STRONG></A>(57.48 K)<BR>"[*K(W(T3rg(A2Q
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>c、胃底(右侧卧位RL)<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10438 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10438', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10438', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/393787015109733.jpg" onload="attachimg(this, 'load');"> #^4ru"l!l6G}6i
<DIV class=t_attach id=attach_10438_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/393787015109733.jpg" target=_blank><STRONG><FONT color=#0000ff>181649155245.jpg </FONT></STRONG></A>(51.48 K)<BR>eZ,A],E(^{?;?
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10439 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10439', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10439', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/393787031111500.jpg" onload="attachimg(this, 'load');"> 6^/si}eW
<DIV class=t_attach id=attach_10439_menu style="DISPLAY: none"><IMG class=absmiddle alt="" src="http://www.china-radiology.com/bbs/images/attachicons/image.gif" border=0><A href="http://www.china-radiology.com/bbs/upload/2008/03/02/38/393787031111500.jpg" target=_blank><STRONG><FONT color=#0000ff>181649255245.jpg </FONT></STRONG></A>(59.98 K)<BR>7`3RTp!s'xw
<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR>d、胃体上部(RPO)(床面头侧抬高15°,防止钡液流入胃底。)。<SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10440 onmouseover="showMenu(this.id, 0, 1)" style="DISPLAY: none; POSITION: absolute"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10440', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10440', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/393787046126982.jpg" onload="attachimg(this, 'load');"> 0^Mjm&h1Q)Q6hJ
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<DIV class=t_smallfont>2008-3-2 21:10:18</DIV></DIV><SPAN style="DISPLAY: none; FONT-SIZE: 0px">Õ*èO×www.china-radiology.comÝåÅj-g¶Ã</SPAN><BR><SPAN id=attach_10441 onmouseover="showMenu(this.id, 0, 1)" style="LEFT: 228px; POSITION: absolute; TOP: 5217px"><IMG src="http://www.china-radiology.com/bbs/images/attachicons/attachimg.gif" border=0></SPAN><IMG onmouseover="attachimginfo(this, 'attach_10441', 1);attachimg(this, 'mouseover')" onmouseout="attachimginfo(this, 'attach_10441', 0, event)" src="http://www.china-radiology.com/bbs/upload/2008/03/02/38/393787062136645.jpg" onload="attachimg(this, 'load');"> -m` ?(mF9n
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