Pintelon H, Jonckheer M H, Piepsz A
Department of Nuclear Medicine, AZ VUB, Brussels, Belgium.
Nucl Med Commun. 1994 Aug;15(8):664-6. doi: 10.1097/00006231-199408000-00012.
In our department, examinations of long duration are performed without sedation. It is exceptional that a test has to be postponed because of lack of cooperation by the patient. Good quality images, taking into account the recommended paediatric amounts of radioactivity, are achieved for procedures such as MIBG whole body scanning (10 min frame-1), gastro-oesophageal reflux studies (60 min acquisition), renography and furosemide challenge (45 min) or pinhole views for bone or renal DMSA studies (20-30 min). While drug sedation remains in some conditions the only way to obtain a satisfactory nuclear medicine examination in children, we still believe that in most cases this can be achieved by taking the emotional life of the child into account. For that purpose, people in charge of the paediatric procedure have to be adequately trained.
在我们科室，长时间的检查无需镇静即可进行。因患者不配合而不得不推迟检查的情况很罕见。考虑到推荐的儿科放射性剂量，对于诸如间碘苄胍全身扫描（10分钟采集-1）、胃食管反流研究（60分钟采集）、肾图和速尿激发试验（45分钟）或骨或肾二巯基丁二酸（DMSA）研究的针孔视图（20 - 30分钟）等检查，均可获得高质量图像。虽然在某些情况下，药物镇静仍是在儿童中获得满意核医学检查的唯一方法，但我们仍然认为，在大多数情况下，通过考虑儿童的情感生活可以实现这一点。为此，负责儿科检查的人员必须接受充分培训。
