目的总结使用注射用六氟化硫微泡作为造影剂进行甲状腺超声造影检查的护理经验。方法对使用注射用六氟化硫微泡作为造影剂进行甲状腺超声造影检查的413例患者的临床资料进行回顾性分析,对超声造影检查流程、静脉穿刺技术、正确配置和使用注射用六氟化硫微泡造影剂、操作过程、不良反应的正确处理等进行护理观察与配合。结果413例患者造影成功率为100%,完成造影检查后2例轻微头晕,1例造影剂外渗,其他患者未发生头晕、造影剂外渗、皮疹、瘙痒、注射部位疼痛等不良反应。结论熟练掌握整个超声造影流程、穿刺者过硬的静脉穿刺技术、正确配置和使用注射用六氟化硫微泡造影剂、操作过程中细致的护理观察和对不良反应的正确处理等护理要点对于注射用六氟化硫微泡超声造影检查的造影成功率提高、减少毒副反应至关重要。
Objective To sum up the nursing experience of injection of sulphur hexafiuoride microbubbles as contrast agent for thyroid contrast - enhanced ultrasound (CEUS). Methods The clinical data of 413 cases who injected sulphur hexatluoride microbubbles as a contrast agent for CEUS were retrospectively analyzed. Nursing observation and coordination were done on the CEUS examination process, venous puncture technique, the correct configuration and use of sulphur hexafluoride microbubbles as contrast agents, operating process, the correct treatment of adverse reactions. Results The success rate of thyroid CEUS in 413 cases was 100%. After completion of the CEUS procedure,2 cases revealed slight dizziness, 1 case with the contrast agent extravasation, others did not have adverse reactions such as dizziness, the contrast agent extravasation, skin rashes, itching, pain at the injection site. Conclusion The key nursing points including mastery of the whole CEUS process, operator "s qualified venous puncture technique ,the correct configuration and use of sulphur hexafluoride microbubbles for injection as contrast agent, careful nursing observation in the operating process and correctly treatment of adverse reactions are significant for enhancing success rate of thyroid CEUS and relieving relevant adverse effects.