静脉肾盂造影的护理：319例分析

Nursing in intravenous pyelogaphy： experience from 319 cases

319例患者接受静脉肾盂造影（IVP），289例选用泛影葡胺，41例选用欧乃派克。术后随访1周。分析其临床资料以总结其护理经验。使用泛影葡胺的患者中，5例在造影过程中出现头晕、恶心、面部潮红。解除腹部压迫，检查床竖立时，319例中6例出现头晕、双下肢无力，平卧休息后缓解。接受低张溶液的65例均尤不良反应。进行IVP前应详细询问既往史，应注意心理护理，减少患者的心碑负担，检查前要评估肠道准备情况。若患者出现饥饿感、心悸、出汗，应查血糖。囚造影剂浓度较高，注射时应选用较粗大的静脉。

319 patients underwent intravenous pyelogaphy （IVP）, 289 receiving meglumine diatrizoate and 41 receiving Iohexol （Omnipaque）, and all were followed for 1 week. The clinical data were analyzed to sum up the experience in nursing care for such patients. Five patients receiving meglumine diatrizoate showed dizziness, nausea, and flush during IVP. Six of the 319 patients showed dizziness, weakness of lower extremities when the pressure on the abdomen was removed and the bed was set upright, and the symptoms were eased alter lying supine for a while . No adverse reaction was seen in the 65 patients receiving hypotnnic solution. Before the IVP the past history should be enquired carefully, reassurance be made so as to take off the mental burden of the patients, and the condition of intestinal tract preparation be accessed. If the patients show hunger, sweating, and palpitation blood sugar should be examined. Since the concentration of the contrast agent was high a thick and big vein has to be selected.