| Japanese |
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| Title | 救急医学における99mTc-RBCを用いた緊急消化管出血シンチグラフィ |
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| Subtitle | 原著 |
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| Authors | 森田誠一郎*, 大園洋邦*, 石橋正敏*, 平山貴紳*, 野村保史*, 吉居俊朗*, 高橋一之*, 大竹久*, 荒木恒敏**, 坂本照夫***, 加来信雄***, 掛川暉夫** |
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| Authors(kana) | |
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| Organization | *久留米大学医学部放射線科, **第一外科, ***救命救急センター |
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| Journal | 核医学 |
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| Volume | 27 |
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| Number | 5 |
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| Page | 459-466 |
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| Year/Month | 1990/5 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」 下血をきたし救命救急センターに収容された症例を中心に, 99mTc-RBCを用いた緊急腹部出血シンチを行った20例について, 本検査法の臨床的意義, 有用性について検討した. 20例中9例がシンチで陽性であった. 疾患部位別では20中5例に空, 回腸疾患があり, うち4例が陽性を示した, シンチ陽性9例中7例, 陰性11例中4例の計11例に止血のために開腹術が行われた. このシンチ陽性7例中の5例, および陰性4例中の2例の計7例は, シンチより24時間以内に手術が行われている. 陰性例の2例は所謂間歇的出血を示唆している. 24時間後までの経時的な追跡の必要性が痛感された. 血管造影が8例に行われ, 3例に出血が証明された. この3例はシンチでも陽性であった. 99mTc-RBCを用いた腹部シンチグラフィは, 内視鏡検査が困難な小腸からの出血の検索に特に有用で, 血管造影法よりも鋭敏な検査法であり積極的に行われるべきである. |
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| Practice | 臨床医学：一般 |
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| Keywords | Gastrointestinal bleeding, 99mTc-labeled red blood cells, Emergency |
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| English |
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| Title | Diagnosis of Acute Gastrointestinal Bleeding Using Scintigraphy with 99mTc-labeled Red Blood Cells |
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| Subtitle | Original Articles |
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| Authors | Seiichiro MORITA*, Hirokuni OHZONO*, Masatoshi ISHIBASHI*, Takanobu HIRAYAMA*, Yasushi NOMURA*, Toshiaki YOSHII*, Kazuyuki TAKAHASHI*, Hisashi OHTAKE*, Tunetoshi ARAKI**, Teruo SAKAMOTO***, Nobuo KAKU***, Teruo KAKEGAWA** |
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| Authors(kana) | |
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| Organization | *The Department Radiology, **The First Department of Surgery, ***The Critical Care Center, Kurume University School of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 27 |
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| Number | 5 |
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| Page | 459-466 |
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| Year/Month | 1990/5 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] To evaluate the usefulness and clinical significance of scintigraphy using 99mTc-RBC in urgent abdominal bleeding, we performed abdominal bleeding scintigraphy in 20 patients with melena. These patients were admitted to the critical care center. Nine of 20 patients showed positive images with bleeding scintigraphy. Five of 20 patients were refered because of small intestinal bleeding. Four of these 5 patients revealed positive images. Seven of 9 patients who had positive image and four of 11 patients who were negative had opensurgery performed. While angiography was done in 8 patients, only 3 of the 8 patients were proven to have bleeding. These 3 patients also revealed positive images by bleeding scintigraphy. This technique facilitates the screening of bleeding in the ileum, where endoscopic techniques may prove difficult to detect the site of bleeding. We emphasize that abdominal scintigraphy should be performed on patients with G. I. bleeding since this is a more accurate examination than angiography. |
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| Practice | Clinical medicine |
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| Keywords | Gastrointestinal bleeding, 99mTc-labeled red blood cells, Emergency |
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