電腦斷層檢查注射對比劑滲漏相關因素之探討

Evaluation of the Risk Factors of the Contrast Medium Extravasation in CT Examinations

董祐芳(Yu-Fang Tung) ； 李潤川(Rheun-Chuan Lee) ； 周幸生(Shin-Shang Chou) ； 王仲寧(Chung-Ning Wang)

《榮總護理》 26卷3期 (2009/09) Pp. 214-221

https://doi.org/10.6142/VGHN.26.3.214

摘要

The purpose of this study was to explore the risk factors of the contrast medium extravasations (CME) during computed tomography (CT) studies in a medical center. A case-control study was conducted from 2003.01 to 2007.12. 152CME events were identified as cases and 152 patients were randomly selected as controls from146,986 CT examinations with contrast media. The instruments were a self-developed demographic chart and detailed information table of CME events. The result showed the CME incidence was 1.03%. Through the logistic regression analysis, four risk factors were identified, aged (Odd's ratio=1.04, 95% CI=1.01-1.07), over weight (Odd's ratio=3.74, 95%CI=1.36-5.05), intravenous (Ⅳ) catheter insertion＞ 24 hours (Odd's ratio=4.17,95% CI＝1.22-14.27) and young doctor inserted Ⅳ catheter (Odd's ratio=78.07, 95% CI＝21.67-283.36). These four risk factors were very important in the clinical practice of CME prevention.

關鍵字

對比劑滲漏 ； 電腦斷層檢查 ； 對比劑滲漏危險因子

並列摘要

The purpose of this study was to explore the risk factors of the contrast medium extravasations (CME) during computed tomography (CT) studies in a medical center. A case-control study was conducted from 2003.01 to 2007.12. 152CME events were identified as cases and 152 patients were randomly selected as controls from146,986 CT examinations with contrast media. The instruments were a self-developed demographic chart and detailed information table of CME events. The result showed the CME incidence was 1.03%. Through the logistic regression analysis, four risk factors were identified, aged (Odd's ratio=1.04, 95% CI=1.01-1.07), over weight (Odd's ratio=3.74, 95%CI=1.36-5.05), intravenous (Ⅳ) catheter insertion＞ 24 hours (Odd's ratio=4.17,95% CI＝1.22-14.27) and young doctor inserted Ⅳ catheter (Odd's ratio=78.07, 95% CI＝21.67-283.36). These four risk factors were very important in the clinical practice of CME prevention.

並列關鍵字

contrast medium extravasation ； computed tomography CT ； risk factors of contrast medium extravasation