摘要
目的:探讨螺旋CT增强扫描中出现对比剂副反应的预防与护理。方法:将进行CT增强扫描检查的2134例患者分为两组,其中291例应用离子型对比剂(60%泛影葡胺),1843例应用非离子型对比剂(碘海醇),观察给药后的副反应发生率及其程度。结果:离子型对比剂组副反应的发生率为12%,非离子型对比剂组为1.3%,前者副反应的发生率明显高于后者(P<0.01)。离子型对比剂组2例出现重度副反应,表现为全身抽搐或休克,经抢救均获得成功。非离子型对比剂组仅2例出现中度副反应,表现为胸闷、气急和局部荨麻疹。结论:应用非离子型对比剂组的副反应发生率显著低于应用离子型对比剂组。在CT增强扫描时应尽可能选择非离子型对比剂进行检查。应用对比剂的过程中应严密观察有无副反应的发生,并及时做出相应的处理。在护理方面,放射科护理人员要加强检查过程中的护理配合,积极预防毒副反应和并发症的发生。
[Objective]To study the prevention and nursing of side effects of contrast media in CT contrast enhancement. [Method]Of 2134 cases who were divided into two groups,1843 were selected as non-ionic contrast medium(Iohexol) group, 291 were selected as ionic contrast medium(60%Cardiografin) group.The incidence and degree of side effects after using drugs were observed.[Result]the incidence of side effects in ionic group was 12%,and 1.3%in non-ionic group,the formers' was significantly higher than the latter's(P<0.01).In ionic group,two developed severe side effects as spasm or shock,but all succeeded after rescuing.In non ionic group,only two developed side effects as local urticaria.[Conclusion]the incidence of side effects in non-ionic group was significantly lower man in the ionic group.Non-ionic contrast media should be selected using for examination in CT contrast enhancement as far as possible,the side effects should be observed strictly during using contrast media and dealt with it in time.In nursing,the nursing personnel of radial department should strengthen cooperation during the process of examination,and prevent actively the occurrence of side effects and syndrome.
出处
《浙江医学教育》
2007年第2期52-54,57,共4页
Zhejiang Medical Education
关键词
增强扫描
对比剂
药物
副反应
护理
contrast enhancement
contrast media
drugs
side effects
nurse
