Objective: to study the clinical value of CT examination in patients with gastrointestinal perforation and abdominal infection. Methods: 200 patients with gastrointestinal perforation and abdominal infection who were ...Objective: to study the clinical value of CT examination in patients with gastrointestinal perforation and abdominal infection. Methods: 200 patients with gastrointestinal perforation and abdominal infection who were treated in our hospital from February 2016 to August 2019 were selected as the research objects. All patients underwent CT scanning. The results of doctors' reading were recorded and analyzed. The locations of gastrointestinal perforation were summarized and the CT manifestations were analyzed. Results: among the 200 patients, 164 had perforation of upper digestive tract and 36 had perforation of lower digestive tract. There were 91 cases (45.50%) of duodenal perforation, 73 cases (36.50%) of gastric perforation, 28 cases (14.00%) of appendiceal perforation and 8 cases (4.00%) of other intestinal perforation. The main sign of diagnosing digestive tract perforation is abdominal cavity gas accumulation, in which 52.00% of the patients show large amount of gas accumulation and 39.00% of the patients show small amount of gas accumulation;CT signs of abdominal infection include ascites and effusion, and signs of enlarged lymph nodes, abdominal abscess and peritoneal thickening also support abdominal infection. Conclusion: CT examination of patients with gastrointestinal perforation and abdominal cavity infection has high diagnostic value. Abdominal cavity gas accumulation and effusion are the main signs of CT diagnosis.展开更多
文摘Objective: to study the clinical value of CT examination in patients with gastrointestinal perforation and abdominal infection. Methods: 200 patients with gastrointestinal perforation and abdominal infection who were treated in our hospital from February 2016 to August 2019 were selected as the research objects. All patients underwent CT scanning. The results of doctors' reading were recorded and analyzed. The locations of gastrointestinal perforation were summarized and the CT manifestations were analyzed. Results: among the 200 patients, 164 had perforation of upper digestive tract and 36 had perforation of lower digestive tract. There were 91 cases (45.50%) of duodenal perforation, 73 cases (36.50%) of gastric perforation, 28 cases (14.00%) of appendiceal perforation and 8 cases (4.00%) of other intestinal perforation. The main sign of diagnosing digestive tract perforation is abdominal cavity gas accumulation, in which 52.00% of the patients show large amount of gas accumulation and 39.00% of the patients show small amount of gas accumulation;CT signs of abdominal infection include ascites and effusion, and signs of enlarged lymph nodes, abdominal abscess and peritoneal thickening also support abdominal infection. Conclusion: CT examination of patients with gastrointestinal perforation and abdominal cavity infection has high diagnostic value. Abdominal cavity gas accumulation and effusion are the main signs of CT diagnosis.