双源CT前瞻性心电门控小儿先心病检查的护理体会  

Nursing care of dual-source CT angiography in pediatric patients with congenital heart disease

作　　者：路园园[1] 王道萍[1] 王文文[1] 周云娜[1] 王晶[1] 

机构地区：[1]山东省医学影像学研究所CT室,山东济南250021

出　　处：《医学影像学杂志》2013年第1期139-141,共3页Journal of Medical Imaging

摘　　要：目的探讨先天性心脏病患儿在双源CT(DSCT)检查中的护理特点。方法收集行DSCT心脏大血管成像检查的30例先心病患儿资料,记录其检查前,检查中,检查后的护理过程,由2名有经验的影像科医师对图像进行主观评分(3分:好;2分:中;1分:差)。结果 30例患儿均成功完成DSCT心脏大血管成像检查,均无不良反应发生;获得的图像质量好(主观图像质量评分为2.39±0.33),无不能诊断图像。30例患者共发现畸形85处,与手术结果或DSA对比,诊断准确率约98.8%(85/86)。结论耐心、仔细、科学有效的做好护理工作,是协助医师顺利完成小儿先心病DSCT心脏大血管成像的重要保障。Objective To explore the nursing care of dual-source CT （DSCT） angiography in pediatric patients with congenital heart diseases （CHD）. Methods The DSCT angiography images of 30 pediatric patients were evamated. The nursing care of pre-, postand the process of examination were recorded. Subjective image quality was evaluated by 2 independent radiologists on the basis of 3-score level. Results All of the 30 pediatric patients performed the DSCT angiography successfully. The average image quality score was 2.39±0.33, no un-diagnosed image; 85 deformities were detected by DSCT angiography, compared with the X-ray angiographic or surgerial findings, the accuracy of DSCT angiography was 98.8% （85/86）. Conclusion Taking care of the pediatric patients carefully is important in DSCT angiography for pediatric patients.

关 键 词：体层摄影术 X线计算机 先天性心脏病 婴幼儿 护理 

分 类 号：R541[医药卫生—心血管疾病] R814.42[医药卫生—内科学]