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目的:总结CT增强扫描中碘剂过敏反应的预防及护理对策。方法:我院2014年1月-2016年3月行CT增强扫描的患者53例,使用造影剂碘普罗胺或碘海醇,并做好检查前准备,加强心理护理、检查中的护理干预及检查后留观。结果:53例行CT增强扫描患者中6例出现过敏反应,其中男2例,女4例;5例发生于静脉注射碘剂后15min,1例发生于检查结束后;轻度过敏反应4例,未经特殊处理,短时间内自行缓解;中度过敏反应2例,予吸氧和抗过敏药物治疗后好转。结论:早预防、早处理,及时采取正确的急救措施可有效减少和减轻CT增强扫描中碘剂过敏反应,有利于CT增强扫描安全顺利进行。
Objective: To summarize the prevention and nursing countermeasures of iodine allergy in CT enhanced scan. Methods: From January 2014 to March 2016, 53 patients underwent contrast-enhanced CT scan with contrast agent iopromide or iohexol, and prepared for examination. The nursing interventions in psychological care and examination and Check after the inspection. Results: Of the 53 cases, 6 cases had anaphylactic reaction in CT scanning, including 2 males and 4 females. Five cases occurred 15 minutes after intravenous injection of iodine and one case occurred after the examination. Four cases had mild allergic reaction , Without special treatment, relieve itself in a short time; moderate allergic reaction in 2 cases, after the treatment of oxygen and anti-allergy drugs improved. CONCLUSION: Early prevention, early treatment and timely and proper first-aid measures can effectively reduce and alleviate the iodine-allergic reaction in CT-enhanced scanning, which is good for the safe and successful CT-enhanced scanning.