双源CT冠状动脉成像护理.docVIP

双源CT冠状动脉成像护理[摘要] 目的 探讨双源CT冠状动脉成像的相关护理措施。 方法 对 600 例行双源CT冠状动脉成像检查患者的相关资料进行分析，做好检查前、检查中及检查后的相关护理工作，并对出现的症状做适当对症处理。 结果 600 例患者无一例推注造影剂过程中出现渗漏，只有1例患者出现皮疹，未出现严重的变态反应；检查后，达到优良诊断标准的为570 例，优良率为 95%。 结论 细心、精确和科学有效地做好护理工作对提高影像质量至关重要，是协助医师顺利完成双源CT冠状动脉筛选的重要保障。 [关键词] 冠状动脉成像；双源CT；冠心病；护理 [中图分类号] R47 [文献标识码] A [文章编号] 1674-4721（2012）07（b）-0157-02 Nursing of coronary artery imaging of dual-source CT CHEN Seyan Room CT of Shantou Central Hospital in Guangdong Province，Shantou 515053, China [Abstract] Objective To discuss the related nursing measure of dual-source CT coronary artery imaging. Methods Dual-source CT coronary artery imaging examination was performed on 600 patients with coronary heart disease, the related nursing measures were carried out before and after the examination, and appropriate treatment on symptoms was made also. Results No leakage was observed on the patient in the process of bolus injection of contrast agent. One patients was observed rash but with no serious allergic reaction. After the examination, 570 cases achieved excellent diagnostic criteria, the excellent and good rate was 95%. Conclusion Careful, precise and effective nursing is very important to improve imaging quality. It is also important to guarantee to assist the physician completed successfully with dual-source coronary CT screening. [Key words] Coronary artery imaging; Dual-source CT; Coronary heart disease; Nursing 目前，随着医学影像技术发展迅速，双源CT的出现可为冠状动脉的临床检查提供更安全可靠的措施。相对于传统CT，双源CT的放射量大大减少，敏感性和特异性大为提高，当前已经成为冠心病筛查的必要影像学检查手段[1-2]。但在CT冠状动脉成像中，护理工作也是造影成功的重要因素之一。 1 资料与方法 1.1 一般资料 选择 2010年12月～2011年7月行双源CT冠状动脉检查的患者共600 例。其中，男400例，女200例；年龄18～83岁，平均50.5岁。排除碘过敏、严重心肺功能不全患者。所有患者就诊前，均见胸闷、心前区不适，剧烈活动后或情绪变化后加剧，或临床诊断为高血压或冠心病。 1.2 设备与方法 采用德国产西门子双源CT 机，德国Nemoto Dual ShotGX高压注射器，20～18G一次性套管针（BD公司），造影剂选用非离子型造影剂碘普罗胺，总量设定为75～100 mL。具体步骤：患者平卧，扫描仪对胸部屏气进行定位像，主要范围位于患者气管隆突水平与患者心脏左膈面下约1.0～1.5 cm左右。高压注射器以5.0 mL/s的流速由肘静脉注射80 mL碘普罗胺370、50 mL 0.9%氯化钠注射液，人工智触发扫描系统，记录密度达到预设阈值90 HU 时的扫描情况。 1.3 护理措施 1.3.1 扫描前