对比介质扩散损伤:一个前性的观察队列研究
Wanli Liu1,2, Pinghu Wang3, Hui Zhu4
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
European journal of medical research
|October 26, 2023
概括
恶性瘤,Iohexol,大体积扩散和手背注射是中度对比介质扩散的关键危险因素. 识别这些可以帮助最大限度地减少受伤的严重程度.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 患者安全 患者安全
背景情况:
- 对比介质的扩散会导致中度至重度的伤害.
- 识别风险因素对于预防和管理这些事件至关重要.
研究的目的:
- 为了确定中度和严重的对比介质扩散的风险因素.
- 提供指导,以减少外流伤害的严重程度.
主要方法:
- 一项对224名经历对比介质扩散的成年患者的回顾性研究.
- 使用单变量和多变量逻辑回归分析来确定中度伤害的风险因素.
主要成果:
- 没有发生严重的扩散损伤;8.0%是中度和92.0%是轻度.
- 中度伤害的独立风险因素包括恶性瘤,Iohexol使用,大容量扩散 (>50毫升) 和注射在手后部.
结论:
- 恶性瘤,Iohexol,大体积扩散和手背注射是中度对比介质扩散的重要危险因素.
- 风险因素分析有助于降低受伤严重程度.
- 高风险患者应选择适当的对比剂,避免手背注射,并考虑癌症患者的中央静脉导管以减轻风险.
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