眼眶ct检查技术副鼻窦ct内耳、乳突检查技术（Techniques of orbital CT examination, paranasal sinuses, CT, internal ear and mastoid examination）.doc

眼眶ct检查技术副鼻窦ct内耳、乳突检查技术（Techniques of orbital CT examination, paranasal sinuses, CT, internal ear and mastoid examination） [CT] orbital CT examination technique 1, before the examination preparation (1) clear inspection purposes and requirements. (2) remove the metal ornaments and foreign body in the body, and eliminate the artifact interference. (3) the enhanced scanning, according to the requirements for use of iodinated contrast agent. Check 4H before fasting. Supine position or prone position. (4) patients with infants, trauma, unconscious and restlessness should be given sedative as appropriate. 2, inspection methods (1) plain scan Body position and range: supine, cross section from the orbital floor to the orbital apex, if necessary, expand the scan range as needed. In the prone position, the coronal plane is scanned continuously from the anterior leading edge, from the anterior part of the eyeball to the cavernous sinus. Baseline scan: transverse scan: listen to the orbital line, coronal scan, coronal line (prone position). Thickness and spacing: the thickness of the conventional layer is from 1 to 3mm, and the interval is from 1 to 3mm Window width and window position: soft tissue window: window L:30 to 50HU, window width: W250 to 300HU. Bone window: window L:250 to 500HU, window width: W1000 to 1600HU.. (2) enhanced scan Contrast agent: nonionic iodinated contrast agent, the adult children of 60 ~ 100ml, according to the weight calculation of 2ml / kg. Injection: high pressure injector, intravenous bolus, speed 2 ~ 3.0ml/s. Scanning time: after injection of contrast medium, 20s performed arterial phase scan, and 50 to 70s underwent parenchymal scan. Scanning procedure: the parameter is the same as that of cross sectional plain scan. 3, matters needing attention (1) attention should be paid to the protective screen outside the scan. (2) after enhanced scan, the patient should be left 10min or so to observe if there is any delayed allergic reaction. (3) seriou