CT增强扫描中造影剂副反应的预防及处理

Prevention and Management of Side-effect of Contrast Media in CT Enhancemant Scan

是探讨ＣＴ增强扫描中降低造影剂副反应的基本原则和处理措施。材料和方法：对１８００例ＣＴ增强扫描病例进行造影剂应用的选型和预防性给药，对其中出现的造影剂副反应进行分类、记录和总结并提出具体的处理措施。结果：应用离子型造影剂副反应发生率为５．０４％，应用非离子型造影剂副反应发生率为０．９％。结论：合理选择造影剂、严格筛选高危人群和预防性给药以及完备的抢救措施能明显降低造影剂的副反应率和致死率。

Purpose: To discuss the basic principle and management methods of decreasing the side-effect of contrast media in CT enhancement scan. Materials and methods: To select two different types contrast and give preventive medicine. eg.Dexamethasone. in 1800 cases CT enhancement scan. To sort, summary and sum-up tile side-effect of contrast media and bring forward concretely management. Result: General rate of side-effect of application ionic-contrast is 5.04%; Generant rate of side-effect of application non-ionic-contrast is 0.9%. Conclusion: It can obviously dicrease side-effect arte and fatal rate of contrast media by resoluble selecting contrast. strictly choosing high risk people. giving preventive medicine and possessing self-contained salvage methods.