Extravasation of contrast medium enhanced CT scan of prevention and care.docVIP

 PAGE \* MERGEFORMAT 7 Extravasation of contrast medium enhanced CT scan of prevention and care [Keywords:] CT enhanced scan; contrast agent extravasation; preventive care Contrast agent extravasation is enhanced CT scan in the superficial veins were injected blood vessels rupture, leakage of contrast medium into blood vessels adjacent to the interstitial space, causing congestion and swelling of the performance of the corresponding organizations. The authors review from May 2003 to May 2008 between the our department enhanced CT scans of 800 cases of patients, 18 patients had contrast agent extravasation, in which severe in 3 patients, now occurs when contrast medium extravasation treatment and experience reports are as follows. 1 Clinical data 1.1 General information on 18 cases of contrast medium extravasation in 10 cases of male patients, 8 females; the youngest 45 years old, maximum 79 years; which placeholder to our department because of liver, 17 cases examined. In the application of imaging methods 1.2 Balance spiral CT machine Siemens, CT special high-pressure syringe, use of non-ionic contrast medium: iohexol injection (300mgI/ml), the amount of drug per kilogram of body weight 1.5 ~ 2.0ml computing (an adult dosage between the 75 ~ 95ml), injection rate of 2.5 ~ 3.5ml / s, injection time 25 ~ 40s. scan lesions according to location and enhanced scanning decide scanning parts of the arterial phase, venous phase and the need to delay scanning. 1.3 The clinical manifestations of this group of cases, contrast agent extravasation, obesity, and muscle relaxation of the elderly are more common. Light are confined, showing needle-like swelling of the local Picchu; heavier showed swelling of the puncture site, because the swelling of the forearm and full; severe swelling can involve the entire upper extremity soft tissue. In addition to soft tissue swelling, the skin can be blistering. As contrast agent at high concentrations, and Department