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64排螺旋CT泌尿系三维成像患者的护理
引用本文:高丽,张金玲,赵云霞,申秀芬.64排螺旋CT泌尿系三维成像患者的护理[J].中国实用护理杂志,2009,25(18).
作者姓名:高丽  张金玲  赵云霞  申秀芬
作者单位:哈尔滨医科大学附属第二医院CT诊断科,150086
摘    要:目的 探讨护理工作在64排螺旋CT泌尿系三维成像(MSCTU)中的价值.方法 240例患者应用64排螺旋CT进行泌尿系三维成像检查,检查前询问病史及碘过敏史,关注患者的心理状态,做好碘预试验;检查中认真观察患者,对可能出现的任何不良反应进行预判,并制订相应的措施;检查后对症处理出现的各种情况,并做好护理指导.结果 239例患者顺利完成检查,1例在扫描过程中出现药物外渗,扫描失败,经过重新扫描,获得满意图像.结论 利用64排螺旋CT行泌尿系三维成像检查,作为一种无创伤、费用相对较低、安全性高的检查技术,护理操作应贯穿检查的每一步.有效的护理措施直接影响检查结果的准确性,熟练的护理操作及耐心细致的心理护理是MSCTU检查中的重要环节.

关 键 词:64排螺旋CT  泌尿系统  三维成像

Nursing of patients undergoing 64-slice CT urography
GAO Li,ZHANG Jin-ling,ZHAO Yun-xia,SHEN Xiu-fen.Nursing of patients undergoing 64-slice CT urography[J].Chinese Journal of Practical Nursing,2009,25(18).
Authors:GAO Li  ZHANG Jin-ling  ZHAO Yun-xia  SHEN Xiu-fen
Abstract:Objective To discuss the value of nursing work in 64-slice CT urography. Methods 240 patients participated in the 64-slice CT urography, inquiring medical history and iodine allergic history, paying attention to their psychological state and finishing iodine preliminary test before examination, ob-serving patients carefully, pre-judging any possible adverse effect and formulating corresponding measures during the examination, giving expectant treatment according to the various condition and nursing instruc-tion. Results 239 patients passed through the examination smoothly, agents exosmosis happened in one case and led to failure, but satisfactory image was obtained after rescanning. Conclusions Nursing oper-ation penetrates every step of 64-slice CT urography, which is a non-traumatic, low-expense and high-safety examination. Effect nursing directly influences the accuracy of the results, proficient nursing opera-tion and patient psychological nursing is the important part of it.
Keywords:64-slice CT  Urinary system  Three-dimensional imaging
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