探索输血和同一天计算机断层成像的交叉点:临床风险和实践的概述
Lavinia Alice Bălăceanu1,2, Cristiana Grigore1,2, Cristian-Dorin Gurău3,4
1Department of Medical Semiology, "Sf. Ioan" Clinical Emergency Hospital, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
输血和对比度增强的CT扫描需要谨慎管理. 结合这些程序会增加自身免疫血解等风险,需要对患者进行仔细的评估和监测,以提高安全性.
科学领域:
- 放射学和输血医学 放射学和输血医学
背景情况:
- 输血对于各种临床情况至关重要,往往需要输血后成像.
- 输血后的胸部成像是允许的,但需要仔细考虑.
研究的目的:
- 为了研究输血和对比增强成像之间的相互作用.
- 强调需要采用多学科方法进行输血后计算机断层扫描 (CT) 扫描,使用对比剂.
主要方法:
- 在多个数据库和注册表中进行全面的文献搜索.
- 包括全文原始文章,评论和英语案例报告,涉及人类受试者.
- 排除不关注成像或特定输血相关问题的输血实践的研究.
主要成果:
- 将输血与增强对比度的CT扫描相结合,会增加并发症的风险,包括自身免疫性血液溶解.
- 输血和对比度增强CT扫描之间存在重叠的不良反应.
- 急性溶血性红细胞输血反应发生在1:12,000-38,000之间.
结论:
- 用对比剂进行输血后CT扫描时,需要谨慎,多学科的方法.
- 在将输血和CT扫描结合时,建议对个别患者进行评估和密切监测.
- 在CT前确保血液动力学和临床稳定性对于患者的安全至关重要.
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