CAJ | 학술논문

目的：分析 CT 高压增强扫描中造影剂渗漏发生影响因素及发生概率，寻找预防措施。方法：回顾性分析我院做 CT 增强扫描而出现造影剂渗漏患者38例资料。结果：在发生造影剂渗漏患者38例中，由于患者血管较差导致建立静脉通道时留置针软管进入血管较浅导致造影剂外漏患者9例，占23.68%；由于病人放化疗后导致其血管弹性降低、脆性增加导致外漏的患者18例，占47.37%；由于病人在建立静脉通道后等待检查时未保护好静脉通道以至于造影剂外漏患者8例，占21.05%；由于留置针本身质量问题导致造影剂外漏患者3人，占7.89%。结论：绝大部分造影剂渗漏为可干预因素，通过制定预判断，预处理方案，可明显降低渗漏事件发生概率。
목적：분석 CT 고압증강소묘중조영제삼루발생영향인소급발생개솔，심조예방조시。방법：회고성분석아원주 CT 증강소묘이출현조영제삼루환자38례자료。결과：재발생조영제삼루환자38례중，유우환자혈관교차도치건립정맥통도시류치침연관진입혈관교천도치조영제외루환자9례，점23.68%；유우병인방화료후도치기혈관탄성강저、취성증가도치외루적환자18례，점47.37%；유우병인재건립정맥통도후등대검사시미보호호정맥통도이지우조영제외루환자8례，점21.05%；유우류치침본신질량문제도치조영제외루환자3인，점7.89%。결론：절대부분조영제삼루위가간예인소，통과제정예판단，예처리방안，가명현강저삼루사건발생개솔。
Objective: to use the probability of pressure leakage during contrast media in CT scan to illustrate the the influence factors and prevention. Methods: Collecting 38 patients whose contrast leakage during CT Injection Scans in our hospital between 2013.12.26 to 2014.08.25,Each patient were recorded and analysis the causes of leakage in contrast agenting and the prevention measures. Results:In 38 patients with leakage, Due to poor patients in patients with vascular establishing intravenous indwelling needle tube into the shallow vessels leads to contrast leakage in 9 patients, accounting for 23.68%;Due to radiation and chemotherapy patients after the blood vessel elasticity decreased, fragility increase lead to leakage of 18 cases of patients with 47.37%;Because the patient waiting for inspection after establishing venous channel to protect that intravenous contrast agent of 8 patients with leakage, accounting for 21.05%;Contrast leakage due to needle itself quality problems in patients with 3 people, accounting for 7.89%. Conclusion: in 38 patients ,regardless of the quality problem of the needle itself, the remaining 92.11% of the leakage of contrast media events are our medical staff can intervene, we carefully summarize the type and the probability of each contrast leakage incident, completes the preliminary judgment and pretreatment, strive to minimize the probability of adverse events.