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儿童CT对比扩散:单中心经验和系统性审查

Maria F Dien Esquivel^1,2, Elka Miller^3,4, Vid Bijelić⁵

¹Department of Medical Imaging, CHEO, University of Ottawa, Ottawa, ON, Canada. maridien@gmail.com.

Pediatric radiology

|November 22, 2023

概括

在CT扫描过程中,有的对比度扩散在儿童中很少见,严重的并发症如隔间综合征很少发生. 这项研究分析了11例儿科病例,并审查了现有文献,以评估患病率和结果.

科学领域:

放射学放射学是一门学科.
儿科成像学儿科成像学
医疗并发症医疗并发症

背景情况:

电脑断层扫描 (CT) 过程中含有的对比物质的扩散是一种罕见但潜在的严重并发症.
严重的结果,如隔间综合征,可以发生在受影响的患者的一个子集.

研究的目的:

为了回顾评估在儿科三级护理中心的对比外流的患病率,严重程度,管理和结果.
将机构的研究结果与现有的关于儿童对比度扩散的文献进行比较.

主要方法:

在2019年至2022年间,对11名儿科患者进行了回顾性分析,这些患者在对比增强CT期间经历了对比扩散.
收集的数据包括患者的人口统计,对比细节,外流的严重程度,管理和结果.
根据PRISMA指南对12篇相关文章进行了系统审查.

主要成果:

在儿科CT扫描中观察到对比度扩散的流行率为0.3% (11/3638).
一名患者 (1/11) 患上了需要切除的隔间综合征.
对110例儿科病例的系统审查显示,综合患病率为0.32%,只有3名儿童出现中度至重度并发症.

结论:

在接受CT的儿科患者中,含的对比度扩散引起的严重并发症很少见.
在需要外科咨询和诸如年龄,性别,体重或注射部位特征等因素之间没有发现显著的关联.

关键词:

这就是为什么CTCTCTCTCTCT 孩子孩子孩子孩子相反的对比,对比的对比.这是一种extravasation.静脉内输入静脉内输入有的对比剂有的对比剂.

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