摘要
医学影像检查中造影剂应用频繁，但相关不良反应虽少见却具有高危害性，急性过敏样反应常在注射后短时间内突发，对护理处置效率提出极高要求。当前影像科急救流程仍存在预警不清、反应迟缓、职责交叉等问题。本文聚焦急救护理流程重构，从风险前移、动态监测、分级应对到记录追踪，系统梳理关键节点，构建以“提前识别-快速处置-闭环管理”为主线的护理路径，并结合场景差异提出差异化策略，推动指南精神转化为床旁操作。
关键词： 医学影像；造影剂；不良反应；急救护理
Abstract
Contrast agents are frequently used in medical imaging examinations, yet their associated adverse reactions, though rare, pose high risks. Acute anaphylactoid reactions often occur shortly after injection, imposing stringent demands on nursing intervention efficiency. Current emergency protocols in radiology departments still face issues such as unclear warnings, delayed responses, and overlapping responsibilities. This study focuses on reengineering the emergency nursing process, systematically analyzing key nodes from risk mitigation, dynamic monitoring, tiered response, to documentation and tracking. A nursing pathway centered on “early identification-rapid intervention-closed-loop management” is established, with tailored strategies proposed based on scenario variations to translate guideline principles into bedside practices.
Key words： Medical imaging; Contrast agents; Adverse reactions; Emergency care
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