ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2022, Vol. 3 ›› Issue (1): 92-94.doi: 10.3761/j.issn.2096-7446.2022.01.018

• 临床实践 • 上一篇    下一篇

全脑血管造影后对比剂脑病患者的护理

冯芳, 刘倩, 梁莉洁, 赵雪红   

  1. 310003 杭州市 浙江大学医学院附属第一医院神经内科（冯芳,刘倩,梁莉洁）,护理部（赵雪红）
  • 收稿日期:2021-08-02 出版日期:2022-01-10 发布日期:2022-01-17
  • 通讯作者: 赵雪红,E-mail：1192076@zju.edu.cn
  • 作者简介:冯芳：女,本科,主管护师,E-mail：1189003@zju.edu.cn

Nursing care of a patient with contrast-induced encephalopathy after total cerebrovascular angiography

FENG Fang, LIU Qian, LIANG Lijie, ZHAO Xuehong   

  • Received:2021-08-02 Online:2022-01-10 Published:2022-01-17

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摘要： 总结1例全脑血管造影后对比剂脑病患者的护理体会。护理要点：启动应急流程,进行症状监测及紧急处理,并落实患者安全性防护;实施以护士为主导的镇静镇痛管理,通过动态评估镇静程度,防止镇静过度及药物相关并发症的发生;运用容量监测,确保个体化水化疗法的有效性,促进对比剂排泄。经上述护理,患者12 h后症状消失,恢复良好。

关键词: 脑血管造影术, 药物相关副作用及不良反应, 对比剂脑病, 急症护理

Abstract: To summarize the nursing experience of a case of contrast-induced encephalopathy after total cerebrovascular angiography. Emergency procedures were started,then symptom monitoring and emergency treatment were carried out,and patient safety protection was implemented. During the nurse-led sedation and analgesia management,excessive sedation and drug-related complications were prevented by dynamic evaluation of sedation degree. Volume monitoring was used to ensure the effectiveness of individualized hydration therapy and promote contrast excretion. After the above nursing,the patient's symptoms disappeared 12 hours later and recovered well.

Key words: Cerebrovascular Angiography, Drug-Related Side Effects and Adverse Reactions, Contrast-induced Encephalopathy, Emergency Nursing