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静脉内造影剂外渗：系统评价和更新的 ESUR 对比剂安全委员会指南。

Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines.

机构信息

Department of Radiology, Glasgow Royal Infirmary, Glasgow, UK.

Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

Eur Radiol. 2022 May;32(5):3056-3066. doi: 10.1007/s00330-021-08433-4. Epub 2022 Feb 17.

DOI:10.1007/s00330-021-08433-4
PMID:35175378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9038843/
Abstract

NEED FOR A REVIEW

Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines.

AREAS COVERED

In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature.

KEY POINTS

• Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.

摘要

需要审查

最近没有更新有关对比剂外渗管理和预防的指南。鉴于新兴研究和不断变化的工作实践，本综述旨在提供有关当前指南的最新信息。

涵盖领域

本文回顾了与对比剂外渗的病理生理学、诊断、危险因素和治疗相关的文献。根据现有文献，推荐了一个建议方案和指南。

关键点

  1. 外渗的风险取决于扫描技术和患者的危险因素。

  2. 诊断主要是临床的，结果大多是有利的。

  3. 是否转诊至外科手术应基于临床严重程度，而非外渗的量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696a/9038843/886d78437c4a/330_2021_8433_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696a/9038843/886d78437c4a/330_2021_8433_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696a/9038843/886d78437c4a/330_2021_8433_Fig1_HTML.jpg

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