CT室突发性事件抢救护理及预防措施总结  

Summary of emergency rescue nursing and preventive measures in CT room

作　　者：殷风华 YIN Feng-hua(CT and MRI Room,Shangdong Province Gaotang County People's Hospital,Liaocheng Shandong Province 252800,China)

机构地区：[1]山东省高唐县人民医院CT、磁共振室,山东聊城252800

出　　处：《中国城乡企业卫生》2023年第6期104-106,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的分析与总结CT室突发性事件的抢救、护理以及预防措施,为降低CT室突发性事件提供参考。方法回顾性分析山东省高唐县人民医院2020年1月—2021年3月的40例CT室突发性事件临床资料,回顾突发性事件的类型,统计突发性事件在性别及年龄上的分布情况,总结患者结局,探究针对CT室突发性事件的有效抢救、护理及预防措施。结果CT室突发性事件主要有含碘造影剂过敏、呼吸心跳骤停、休克、癫痫发作、突然昏厥、咯血;女性突发性事件发生率排名前三的为癫痫发作、突然昏厥及休克,男性突发性事件发生率排名前三的为癫痫发作、突然昏厥及咯血,其中含碘造影剂过敏、呼吸心跳骤停发生率较低;年龄在<20岁以及20~44岁为癫痫发作的主要群体,其他突发性事件年龄特征并不明显;40例患者中39例转危为安,于相关科室进行进一步治疗,仅1例患者因重症自发蛛网膜下腔出血发生呼吸心跳骤停而死亡。结论CT室突发性事件情况危急,采取有效的预防措施能够降低突发性事件发生率,但日常抢救、护理也需要不断积累经验,当突发性事件发生时,要及时干预,降低对患者的危险与影响。Objective To analyze and summarize the rescue,nursing and preventive measures of CT room emergencies,in order to provide reference for reducing unexpected events in the CT Room.Methods the clinical data of 40 cases of CT room emergencies in Shangdong Province Gaotang County People's Hospital from January 2020 to March 2021 were retrospectively analyzed.The types of emergencies were reviewed,the distribution of emergencies in gender and age was counted,the patient outcomes were summarized,and the effective rescue,nursing and prevention measures for CT room emergencies were explored.Results the main emergent events in CT room were allergy to iodized contrast media,respiratory and cardiac arrest,shock,epilepsy,sudden fainting and hemoptysis.Epilepsy,sudden fainting and shock ranked the top three in the incidence of female emergencies,and epilepsy,sudden fainting and hemoptysis ranked the top three in the incidence of male emergencies,among which the allergy to iodized contrast media and respiratory and cardiac arrest were at a low incidence.Age below 20 years old and between 20-44 years old were the main group of epilepsy,and the age characteristics of other emergencies were not obvious.Among the 40 patients,39 cases were cured and further treated in relevant departments.Only one patient died of respiratory and cardiac arrest due to severe spontaneous subarachnoid hemorrhage.Conclusion CT room emergencies are critical.Taking effective preventive measures could reduce the incidence of emergencies,but daily rescue and nursing also needed to accumulate experience.When emergencies occur,timely intervention was needed to reduce the risk and impact to patients.

关 键 词：CT室 突发性事件 抢救 护理 预防 

分 类 号：R459.7[医药卫生—急诊医学]