静脉对比增强计算机断层扫描中的对比介质超振的危险因素:观察性队列研究
Wanli Liu1, Pinghu Wang2, Hui Zhu3
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China; Institute for Rational and Safe Medication Practices, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
对比介质的扩张与女性性别,糖尿病,静脉血栓,多部位血管造影和高注射率有关. 恶性瘤患者的发病率较低,有助于降低风险的策略.
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:
- 对比介质扩张是静脉对比增强计算机断层扫描期间的一种并发症.
- 识别风险因素对于预防这种不良事件至关重要.
研究的目的:
- 为了确定对比介质扩散的风险因素.
- 为减少其发生率提供指导.
主要方法:
- 追溯分析了38281名成人住院患者的CT扫描,这些患者接受了增强对比度的CT扫描.
- 单变量和多变量逻辑回归用于评估外流的风险因素.
主要成果:
- 用外围短导管进行对比介质扩散的发生率为0.65% (224/34,396).
- 确定了独立的风险因素:女性性别,糖尿病,静脉血栓,多部位血管造影和注射速率≥3毫升/秒.
- 患有恶性瘤的患者表现出更低的扩散发作的发病率.
结论:
- 女性性别,糖尿病,静脉血栓,多部位血管造影和高注射率是对比介质外流的重要危险因素.
- 恶性瘤患者的保护措施可能会降低扩散风险.
- 了解这些因素可以指导策略,以尽量减少对比介质的扩散.
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