| 引用本文: |
何平根,王广平,崔纪民,任伟,侯婕妤.18例非离子型碘对比剂不良反应分析及防治体会[J].湖南中医药大学学报,2018,38(2):204-206[点击复制] |
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| 18例非离子型碘对比剂不良反应分析及防治体会 |
| 何平根,王广平,崔纪民,任伟,侯婕妤 |
| (荆州市中医医院, 湖北 荆州 434000) |
| 摘要: |
| 目的 提高对碘对比剂使用不良反应发生的意识，加强预防、处理措施，减少不良反应发生率。方法 选择我院2014年2月-2016年2月CT检查中使用碘对比剂患者580例，其中CT增强332例，CTA248例，排除临床其他因素，回顾性分析、总结其中18例患者发生不同程度不良反应的临床表现、检查前预防手段及不良反应发生后的处理措施。结果 18例不良反应病例中，Ⅰ度14例，Ⅱ度0例，Ⅲ度0例，分别占比2.4%、0.7%、0%，检查前均给予水化、对比剂加热等预防措施，并排除高危因素，不良反应发生后及时给予对症处理，无严重病例及死亡病例发生。结论 重视碘对比剂使用过程中的安全问题，通过有效预防可降低不良反应发生率，不良反应发生后及时有效的处理可减少危重病例及死亡病例的发生。 |
| 关键词: 非离子型 碘对比剂 不良反应 分析 防治体会 |
| DOI：10.3969/j.issn.1674-070X.2018.02.022 |
| 投稿时间：2016-03-20 |
| 基金项目: |
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| Analysis and Prevention of Adverse Reactions of 18 cases of Non-ionic Iodinated Contrast Agent |
| HE Pinggen,WANG Guangping,CUI Jimin,REN Wei,HOU Jieyu |
| (Jingzhou Hospital of Traditional Chinese Medicine, Jingzhou, Hubei 434000, China) |
| Abstract: |
| Objective To improve the consciousness by adverse reaction of iodine contrast agent, strengthen the prevention and treatment measures, and reduce the incidence of adverse reaction.Methods The 580 cases of patients for CT examination using iodine contrast agent in our hospital from February 2014-February 2016 were selected. in with 580 cases, among which CT enhanced 332 cases, CTA 248 cases. The clinical manifestation of different degree of adverse reactions, preventive measures before examination, and measures for the adverse reactions were retrospectively analyzed.Results Among the 18 cases of adverse reactions, there were 14 cases of gradeⅠ, 4 cases of grade Ⅱ, 0 cases of degree Ⅲ, which accounted for 2.4%, 0.7%, 0%, respectively. Before the examination, the preventive measures such as hydration and contrast agent were taken, and the risk factors were excluded. After the adverse reactions, the patients were given symptomatic treatment, no serious cases and deaths occurred.Conclusion The safety of using iodine contrast agent should be paid attention. The incidence of adverse reactions could reduce through effective prevention, and timely and effective treatment can reduce the incidence of severe cases and deaths. |
| Key words: non-ionic iodinated contrast agent adverse reactions analysis experience of prevention and treatment |
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