基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2014年
27期
3601-3603
,共3页
泛影葡胺%静脉推注%方法改进%效果%不良反应
汎影葡胺%靜脈推註%方法改進%效果%不良反應
범영포알%정맥추주%방법개진%효과%불량반응
Meglumine diatrizoate%Intravenous injection%Enhanced improvement%Effect%Adverse reaction
目的：探讨更为高效、安全的手动静脉推注大剂量药物操作方法。方法783例用76%复方泛影葡胺进行CT增强扫描患者，其中631例行大角度静脉穿刺、加热并推注对比剂、妥善固定针头和拔针后大面积压迫止血等改进措施，统计注射速度、患者不良反应及处理、CT扫描增强效果，并与常规方法注射的152例进行比较，总结并优化其技术方法和经验。结果改进组穿刺点皮下瘀血和注射漏液的病例数显著少于常规组，注速≥1.5 mL/s和扫描部位近心端大动脉CT值≥150 Hu的病例数多于常规组，尤以使用直接针头注射者效果最佳；发生高渗性不良反应的病例数较多。结论改进后的手动静脉推注大剂量药物速度快、CT增强效果好，患者不良反应少。
目的：探討更為高效、安全的手動靜脈推註大劑量藥物操作方法。方法783例用76%複方汎影葡胺進行CT增彊掃描患者，其中631例行大角度靜脈穿刺、加熱併推註對比劑、妥善固定針頭和拔針後大麵積壓迫止血等改進措施，統計註射速度、患者不良反應及處理、CT掃描增彊效果，併與常規方法註射的152例進行比較，總結併優化其技術方法和經驗。結果改進組穿刺點皮下瘀血和註射漏液的病例數顯著少于常規組，註速≥1.5 mL/s和掃描部位近心耑大動脈CT值≥150 Hu的病例數多于常規組，尤以使用直接針頭註射者效果最佳；髮生高滲性不良反應的病例數較多。結論改進後的手動靜脈推註大劑量藥物速度快、CT增彊效果好，患者不良反應少。
목적：탐토경위고효、안전적수동정맥추주대제량약물조작방법。방법783례용76%복방범영포알진행CT증강소묘환자，기중631례행대각도정맥천자、가열병추주대비제、타선고정침두화발침후대면적압박지혈등개진조시，통계주사속도、환자불량반응급처리、CT소묘증강효과，병여상규방법주사적152례진행비교，총결병우화기기술방법화경험。결과개진조천자점피하어혈화주사루액적병례수현저소우상규조，주속≥1.5 mL/s화소묘부위근심단대동맥CT치≥150 Hu적병례수다우상규조，우이사용직접침두주사자효과최가；발생고삼성불량반응적병례수교다。결론개진후적수동정맥추주대제량약물속도쾌、CT증강효과호，환자불량반응소。
Objective The paper studied effective and safe operation experience of intravenous injection of large dose drug with manual push. Method To improve intravenous injection at large angle venipuncture,heated contrast medium,properly fixed needles and large area oppression hemostasis after Pull out the needle for 631 cases in 783 cases with 76%meglumine diatrizoate CT enhanced examine.To statistics the number of cases in injection rates ,patient's adverse reactions and processing,CT enhancement effects. To compare with 152 cases used routine method By χ2 test, and to optimize technical method of intravenous injection. Results The numbers of cases that occurred subcutaneous ecchymosis around puncture point and injection liquid leakage in improved group were less than notably routine group. The number of cases that injection speed≥1.5 mL/s and aortic CT value≥150 Hu in scanning field in their were more than routine,and effects by directive needle injection were best;The numbers of cases of hyper tonicitis adverse reactions were more. Conclusion The rate were fast with Improved intravenous injection of large dose drug by manual push,CT enhancement effect were better,and adverse reactions were less.
