消化道造影检查规范课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,消化道造影检查规范,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,消化道造影检查规范,1,消化道造影,食管钡餐造影,上消化道钡餐造影,双对比结肠钡剂灌肠造影,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,消化道造影,2,食管钡餐造影,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,3,食管钡餐造影,主要适应证,1、食管良、恶性肿瘤。,2、食管异物有误吞异物史,造成吞咽不适或疼,痛者,3、腐蚀性食管炎误食强酸、强碱后,4、食管憩室及憩室炎,5、结缔组织疾病硬皮病、皮肌炎。,6、食管创伤、破裂。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,4,食管钡餐造影,般适应证,1、食管静脉曲张。,2、食管瘘食管气管瘘、食管纵隔瘘。,3、食管运动紊乱症。,4、纵隔肿块(肿瘤、炎性),了解肿块与食管,关系,帮助病变定位与定性。,5、感染性食管炎,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,5,食管钡餐造影,禁忌证,1、昏迷、神志不清不能自主吞咽者,2、有严重食管瘘症状伴有纵膈炎症或纵膈脓肿,者,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,6,食管钡餐造影,并发症,稀钡剂经会厌或内瘘进入呼吸道,量多时可引起,室息或呼吸道继发感染。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,7,食管钡餐造影,药物准备,1、产气剂(粉剂)作为食管双对比造影时用。,2、低张药山莨菪碱20mg,作为食管双对比造影,时用。,3、硫酸钡制剂,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,8,食管钡餐造影,病人准备和注意事项,1、临床提示为食管胃连接区病变,如返流性食管炎、食,管贲门癌、食管裂孔疝、食管下段先天性异常(蹼,膈)时须作包括胃底贲门区在内的上胃肠道造影检查,而不应单作食管造影检查,以免漏诊。,2、食管下段病变伴有食管梗阻临床表现时,以空腹检查,为好,检査前应禁食。,3、如无食管梗阻情况,食管检査一般不须作准备(禁,食),但亦不宜于进食后立即检查,以免食物残渣附,着在食管粘膜上造成假象而误诊,4、已经确诊为晚期食管癌或重度贲门失弛缓症者,且伴,有严重的食管梗阻症状(呕吐)时,不应重复检查。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,9,食管钡餐造影,检查方法与技术,1.食管造影前都应作常规胸透,特别是在要注意纵,隔形态及其邻近器官(心脏、胸主动脉)情况,对食管异物检査前更应作颈、胸部透视,观察有,无不透光异物存在。,2.食管双对比造影检查(以低张法为好)肌注山莨,菪碱20mg,10mn后,先吞服产气剂(粉剂)。病,人取右前斜位立于检査床前,连续大口吞服高浓,度双对比钡混悬液,即刻摄取点片(连续曝光更,好),此法可使食管扩张满意,食管粘膜涂钡均,匀,对食管粘膜浅表病变显示有利。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,食管钡餐造影,10,消化道造影检查规范课件,11,消化道造影检查规范课件,12,消化道造影检查规范课件,13,消化道造影检查规范课件,14,消化道造影检查规范课件,15,消化道造影检查规范课件,16,消化道造影检查规范课件,17,消化道造影检查规范课件,18,消化道造影检查规范课件,19,消化道造影检查规范课件,20,消化道造影检查规范课件,21,消化道造影检查规范课件,22,消化道造影检查规范课件,23,消化道造影检查规范课件,24,消化道造影检查规范课件,25,消化道造影检查规范课件,26,消化道造影检查规范课件,27,消化道造影检查规范课件,28,消化道造影检查规范课件,29,消化道造影检查规范课件,30,消化道造影检查规范课件,31,消化道造影检查规范课件,32,消化道造影检查规范课件,33,消化道造影检查规范课件,34,消化道造影检查规范课件,35,消化道造影检查规范课件,36,消化道造影检查规范课件,37,消化道造影检查规范课件,38,消化道造影检查规范课件,39,消化道造影检查规范课件,40,消化道造影检查规范课件,41,消化道造影检查规范课件,42,消化道造影检查规范课件,43,消化道造影检查规范课件,44,消化道造影检查规范课件,45,消化道造影检查规范课件,46,消化道造影检查规范课件,47,消化道造影检查规范课件,48,消化道造影检查规范课件,49,消化道造影检查规范课件,50,消化道造影检查规范课件,51,消化道造影检查规范课件,52,消化道造影检查规范课件,53,消化道造影检查规范课件,54,消化道造影检查规范课件,55,消化道造影检查规范课件,56,消化道造影检查规范课件,57,消化道造影检查规范课件,58,消化道造影检查规范课件,59,消化道造影检查规范课件,60,消化道造影检查规范课件,61,消化道造影检查规范课件,62,消化道造影检查规范课件,63,消化道造影检查规范课件,64,消化道造影检查规范课件,65,消化道造影检查规范课件,66,消化道造影检查规范课件,67,消化道造影检查规范课件,68,消化道造影检查规范课件,69,消化道造影检查规范课件,70,消化道造影检查规范课件,71,