Enhanced computer tomography examination Diatrizoate Bu amine toxicity of Prevention and Care.docVIP

 PAGE \* MERGEFORMAT 6 Enhanced computer tomography examination Diatrizoate Bu amine toxicity of Prevention and Care [Keywords:] E Keywords:: CT; Note meglumine toxic reaction Computer tomography (CT) has been widely used clinically, in the CT scan frequently make use of a contrast agent-enhanced MRI, by intravenous injection of water-soluble iodine contrast agent, so that diseased tissue relative change in the rate of X-ray absorptiometry. Increased normal tissue and diseased tissue the difference between the gray scale so as to enhance the display of the rate of lesions. Due to greater use of ionic contrast agent, and the delivery speed, in large doses, and high concentration, allergic reactions and toxicity symptoms have increased, now Room 4 in our hospital 050 cases of enhanced CT scan of the prevention, observation, care and treatment methods are summarized below. 1 Data and methods CT scan in our hospital and 84 000 million, of which the Pan-Ying Bu amines with enhanced scan 4050 passengers are using the Shanghai Xinyi Pharmaceutical Factory production of 76% of the Pan-Ying Bu amines, dosage 60 ~ 100 ml. Children: by 1.5 ~ 2 ml / kg calculated; users the oldest 76-year-old and the youngest is 3 years old, both with 1% before using the Pan-Ying Bu-amine 1 ml to do allergy testing, enhanced scan of dexamethasone before general 10 mg intravenous injection, are used to enhance a one-time bolus injection. One side effect occurred in 185 patients with moderate to severe allergic reactions in 2 cases, after a CT room with clinicians, health care and timely treatment, where both turned the corner. Two typical cases Example 1: Male, 55 years old, history of diabetes, B super-space-occupying liver prompted to do enhanced CT scan. Iodine allergy test was negative, enhancing the former given dexamethasone 10 mg intravenous injection, intravenous rapid bolus injection 76% Diatrizoate Bu amine 80 ml. Scan a patient appears agitated, immediately stop scanning,