CT增强扫描注射对比剂渗漏原因分析  

Seepage situation and its causes in injection of contract medium in CT contrast scan

作　　者：黄红云[1] 罗莉[1] 姚玲[1] 胡梅[1] 蒲红[1] 

机构地区：[1]四川省医学科学院.四川省人民医院CT室,四川成都610072

出　　处：《实用医院临床杂志》2015年第6期60-62,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨CT增强扫描注射对比剂渗漏情况及原因。方法我院2005年1～2月行CT增强扫描的155030例患者,均采用多排螺旋CT检查,统计注射对比剂发生渗漏的情况并分析原因。结果 155030例患者中发生外渗151例,其中使用钢针发生144例,使用静脉留置针发生7例;普通增强发生147例,CT血管成像（CTA）增强发生4例。使用钢针的渗漏发生率明显高于使用静脉留置针（P〈0.05）。结论 CT增强扫描中对比剂渗漏有多种原因,预防渗漏应提高医护人员的操作技巧及工作责任心,发生渗漏要积极快速地进行有效处理。Objective To investigate the seepage situation and its causes in injection contrast medium in CT contract scan.Methods There were 155,030 patients undergoing CT contrast scan during January 2005 to February,2015 in our hospital. All these patients were scanned by MSCT. The seepage situation in injection of contrast medium was calculated and its causes were analyzed. Results Of the patients,there were 151 cases with seepage,in which 144 cases were injected with common needles and 7 were injected with indwelling needle. There were 147 cases used common contract and 4 used CTA. The seepage rate in the cases with common needle was significantly higher than that in the cases with indwelling needle（ P〈0. 05）. Conclusion There are many causes for contract medium seepage in CT contract scan. We must enhance the operation skills and work responsibility to prevent the seepage. It should be dealt with actively and effectively once the seepage happens.

关 键 词：CT增强 对比剂 渗漏 护理 注射 

分 类 号：R814.42[医药卫生—影像医学与核医学]