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多层螺旋 CT 成像定位与头皮静脉留置针导管断裂的护理

Multislice Spiral CT Imaging Localization and Nursing Care of Catheter Fracture of Scalp Vein Indwelling Needle.

机构信息

PET/CT-MR Center, Harbin Medical University Cancer Hospital, Haerbin, Heilongjiang 150000, China.

ICU Unit 1, Harbin Medical University Cancer Hospital, Haerbin, Heilongjiang 150000, China.

出版信息

Contrast Media Mol Imaging. 2021 Dec 17;2021:9092836. doi: 10.1155/2021/9092836. eCollection 2021.

Abstract

In order to improve the success rate of scalp venous indwelling needles in infants, image positioning and nursing of scalp venous indwelling needle catheters broken with multislice spiral CT were discussed. In this method, three-dimensional reconstruction of multislice spiral CT was used to diagnose and locate the broken catheter according to the anatomical morphology of the indwelling needle, and the treatment and related nursing were carried out. The results showed that the body temperature was 38.7°C, the pulse was 106 times/min, the respiration was 30 times/min, and the body weight was 15 kg. Laboratory examination: the percentage of leukocytes was 10.00 × 10/, the percentage of lymphocytes was 24.8%, and the percentage of neutrophils was 63.7%. Head CT examination: no obvious abnormalities were observed. 31.9% of children diagnosed with hyperfebrile convulsions had good image quality after treatment with MSCT for catheter fracture of scalp vein indwelling needle; good quality was 52.8%, and barely diagnosed was 12.1%. Multiple post-treatment functions of MSCT have important value in the application of three-dimensional localization of foreign bodies in soft tissues in children and play a more important role in the diagnosis and preoperative evaluation of foreign bodies. Appropriate nursing care for children in the image location examination has very important guiding significance.

摘要

为了提高婴幼儿头皮静脉留置针的成功率,探讨了多层螺旋 CT 定位图像指导下断裂头皮静脉留置针导管的护理。该方法采用多层螺旋 CT 三维重建,根据留置针的解剖形态进行诊断和定位,并进行相应的治疗和护理。结果显示,患儿体温 38.7℃,脉搏 106 次/分,呼吸 30 次/分,体重 15kg。实验室检查:白细胞百分比 10.00×10/L,淋巴细胞百分比 24.8%,中性粒细胞百分比 63.7%。头部 CT 检查:未见明显异常。31.9%的高热惊厥患儿经 MSCT 治疗后,对断裂的头皮静脉留置针导管的图像质量较好;质量较好者占 52.8%,勉强诊断者占 12.1%。MSCT 的多种后处理功能在儿童软组织异物的三维定位应用中有重要价值,对异物的诊断和术前评估具有更重要的作用。对图像定位检查患儿进行适当的护理,对其有非常重要的指导意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64b9/8709768/d11e50ce6169/CMMI2021-9092836.001.jpg

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