静脉肾盂造影PPT

Some people develop a headache, nausea, or vomiting after the dye is injected.
The belt across the kidneys may feel tight over your belly area.
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4. You will need to lie still during the procedure. The test may take up to an hour.
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How the Test is Performed
5. Before the final image is taken, you will be asked to urinate again. This is to see how well the bladder has emptied.
5 Drink more water to help remove
6
the contrast
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How the Test will Feel?
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How the Test will Feel?
You may feel a burning or flushing sensation in your arm and body as the contrast dye is injected. You may also have a metallic taste in your mouth. This is normal and will go away quickly.
完整版PPT课件
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How the Test is Performed

文档仅供参考，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。
How the Test is Performed
An IVP is done in a hospital radiology department or a health care provider's office.
文档仅供参考，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。
How the Test is Performed
2. Your provider will inject an iodine-based contrast into a vein in your arm. A series of x-ray images are taken at different times. This is to see how the kidneys remove the dye and how it collects in your urine.
5 Drink more water to help remove
6
the contrast
文档仅供参考，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。
How the Test will Feel?
文档仅供参考，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。
How the Test will Feel?
You may feel a burning or flushing sensation in your arm and body as the contrast dye is injected. You may also have a metallic taste in your mouth. This is normal and will go away quickly.

疼痛护理
对于术后出现疼痛的患者 ，应给予适当的止痛措施 ，如药物治疗或物理治疗 。
饮食与生活指导
多喝水
术后应鼓励患者多喝水， 以促进造影剂的排出，减 少对肾脏的损害。
避免剧烈运动
术后应避免剧烈运动，以 免加重肾脏负担。
饮食调整
根据患者的具体情况，指 导其合理安排饮食，保证 营养均衡。
并发症预防与处理
适应症与禁忌症
适应症
适用于疑似肾脏、输尿管和膀胱疾病 的患者，如肾结石、肾盂积水、尿路 狭窄等。
禁忌症
对造影剂过敏的患者，肾功能不全、 严重心血管疾病等患者应慎用或禁用 。
操作流程
术前准备
术后护理
确认患者无禁忌症，进行碘过敏试验 ，告知患者注意事项，签署知情同意 书。
观察患者有无过敏反应，嘱咐患者多 饮水促进造影剂排出，告知患者注意 事项。
预防并发症
心肺功能不全患者在造影过程中容易发生心脑血 管意外、呼吸衰竭等并发症，需要提前做好预防 措施。
静脉肾盂造影护理课 件
目录
CONTENTS
• 静脉肾盂造影介绍 • 造影前的护理准备 • 造影中的护理配合 • 造影后的护理指导 • 特殊情况处理
01 静脉肾盂造影介绍
定义与目的
定义
静脉肾盂造影是通过静脉注射造 影剂，利用X线检查肾脏、输尿管 和膀胱的一种影像学检查方法。
目的
用于诊断肾脏、输尿管和膀胱的 疾病，了解尿路通畅情况，评估 肾功能等。
操作过程
在X线透视下，通过静脉注射造影剂 ，观察造影剂在肾脏、输尿管和膀胱 的显影情况，拍摄X线片。
02 造影前的护理准备
患者评估
评估患者病情状况
了解患者是否有过敏史、肾功能不全、高血压、心脏病等基础疾病，以便更好 地制定护理计划。

适应症
(1)泌尿系疾患,在临床或实验室检查有异常改变,并且需 要造影作明确诊断者,可选作本项检查.比如怀疑是肾盂 肾炎及多囊肾等患者. (2)所有腹部或后腹膜肿瘤,均有作静脉尿路造影的指 征. (3)某些疾病伴有泌尿系统病变,如痛风,糖尿病,高钙血 症,盆腔疾患,何杰金病,淋巴肉瘤等疾病,可作此项检 查. (4)某些临床表现,怀疑来自泌尿系统疾病,如高血压,贫 血,不明原因发热等. (5)疑有泌尿系结石,但腹平片无阳性发现者,可作造影 检查.
护理
患者回病房后鼓励患者多饮水，至少 2000ml以上，以代谢造影剂，减少不良 作用。
注意观察有无迟发过敏反应，尤其在检查 后10小时内，如有皮疹、喉头发痒、呼 吸不畅等反应时应及时通知主管医生。
2所有腹部或后腹膜肿瘤均有作静脉尿路造影的指3某些疾病伴有泌尿系统病变如痛风糖尿病高钙血症盆腔疾患何杰金病淋巴肉瘤等疾病可作此项检4某些临床表现疑心来自泌尿系统疾病如高血压贫血不明原因发热公室 参加者签名：
阅后签名：
静脉肾盂造影（IVP）系指经静脉注射显 影剂，通过肾排泄到尿路，藉以观察肾 实质、肾盂、肾盏、输尿管及膀胱的一 种全尿路病变检查方法，也称排泄性尿 路造影。造影剂注射后需先经肾小球滤 过，再经肾小管浓缩成像，故可间接了 解肾脏的滤过功能和浓缩功能，能清楚 地显示肾盂、肾盏及输尿管和膀胱的形 态。
检查前准备
1.做碘过敏试验，并对患者进行屏气训练。 2.造影前2～3天不吃易产气和多渣的食物，并
禁服钡剂或碘剂，以及含钙或重金属的药物。 3.造影前1天下午服缓泻剂。老年、长期卧床、
习惯性便秘者，可提前2～3天每晚服缓泻剂， 检查前1～2小时做清洁灌肠。 4.检查前12小时禁食、禁水。 5.摄腹部（肾、膀胱）平片像，确定是否符合 造影条件。 6.造影前排尿，使膀胱空虚。

肾盂肾盏显影满意后，解除压迫，再拍一 张全泌尿系片（可了解有无肾下垂、有无 结石）。
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充盈缺损：阴性结石、肾盂肿瘤、输尿管 肿瘤、膀胱肿瘤。
受压变形：包括肾脏占位如肾肿瘤、肾囊 肿，可见肾盂、肾盏受压变形。
泌尿系统先天疾病：蹄铁形肾、腔静脉后 输尿管、肾盂输尿管连接部狭窄、肾旋转 不良。
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怀疑泌尿系患有结石、感染、畸形、梗阻、 肿瘤等
泌尿系临近器官疾病可能累及泌尿系
需要了解肾功能者：需做一侧肾切除者必 须做静脉肾盂造影。
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碘剂过敏、总肾功能受损、妊娠早期（<3 个月）、全身状况衰竭：绝对禁忌！
肝功能不全、心脏功能不全、活动性肺结 核、甲亢、哮喘史、其他药物过敏慎用！
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静脉肾盂
造影可见
左侧肾盏
正常影像
消失，输
尿管中段
显影不良。
报告：符
合膀胱占
位性病变。
术中：肾
盂内充满
白色菜花
样肿物。
病理：肾
盂癌。编辑ppt
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静脉肾盂造影示：右肾中上极占 位，显示肾盏、肾盂受压，可见 下盏与肾盂夹角变锐，与左侧不 对称。肿物边界不规则。
静脉肾盂造影是一种特殊的 X光检查，英文 IVP (intravenous pyelography)或 IVU (intravenous urogram)，用来检查泌尿系统
（如肾脏、输尿管、膀胱等）有无异常， 包括结石、肿瘤、梗阻或各种畸形。
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位置，肾脏的分泌功能，腹膜后病变与泌 尿系器官的关系。
医学检验·各Leabharlann ：静脉肾盂造影（IVP） >>>
正常值：
适应证： 1.肾脏、输尿管及膀胱结 核、肿瘤等。 2.原因不明的血尿。 3.泌 尿系结石，确定结石的部位，了解有无阴 性结石。
医学检验·各论：静脉肾盂造影（IVP） >>>
相关检查： 肾功能相关项目、肾小球滤过分数(GFF)、 肾血流量、肾血浆流量、肾小球滤过分数、 肾小管葡萄糖最大重吸收量试验。
医学检验·各论：静脉肾盂造影（IVP） >>>
相关疾病： 反流综合征、小儿后尿道瓣膜、小儿军团 病肾病、小儿输尿管脱垂、小儿尿路梗阻、 先天性胆管囊状扩张。
谢谢！
医学检验·各论：静脉肾盂造影（IVP） >>>
相关症状： 无痛性尿血、运动后尿血、腰背痛、血红 蛋白尿、脓尿、乳糜尿。
医学检验·各论：静脉肾盂造影（IVP） >>>
相关疾病：
梗阻性尿路疾病、肾结石、癃闭、先天性 腹壁肌肉发育不良、肾髓质囊性病、腰痛 -血尿综合征、老年人梗阻性肾病、老年 人尿失禁、新生儿泌尿系统感染、小儿 Alstrom综合征、小儿雄激素不敏感综合 征、小儿蓝尿布综合征、小儿先天性肾盂 输尿管连接部梗阻、小儿原发性膀胱输尿 管反流、小儿膀胱-输尿管
医学检验·各论 静脉肾盂造影（IVP）
内容课件模板
医学检验·各论：静脉肾盂造影（IVP） >>>
简介： 通过X线检查对肾盂进行静脉造影检
查。静脉肾盂造影是静脉注射造影剂后， 下腹部加压，10~20min后摄片检查。
医学检验·各论：静脉肾盂造影（IVP） >>>

How the Test is Performed
2. Your provider will inject an iodine-based contrast into a vein in your arm. A series of x-ray images are taken at different times. This is to see how the kidneys remove the dye and how it collects in your urine.
An IVP can be used to evaluate: kidney stones An abdominal injury Bladder and kidney infections Blood in the urine Tumors
Reference：
wechat:specifiko
THANK YOU
6
the contrast
How the Test will Feel?
How the Test will Feel?
You may feel a burning or flushing sensation in your arm and body as the contrast dye is injected. You may also have a metallic taste in your mouth. This is norm Test is Performed
6. You can go back to your normal diet and medicines after the procedure. You should drink plenty of fluids to help remove all the contrast dye from your body.

.
How the Test is Performed
An IVP is done in a hospital radiology department or a health care provider's office.
.
How the Test is Performed
1. You may be asked to take some medicine to clear your bowels before the procedure to provide a better view of the urinary tract. You will need to empty your bladder right before the procedure starts.
.
How the Test is Performed
3. A compression device (a wide belt containing two balloons that can be inflated) may be used to keep the contrast material in the kidneys.
Some people develop a headache, nausea, or vomiting after the dye is injected.
The belt across the kidneys may feel tight over your belly area.
.
Why the Test is PerformPerformed
6. You can go back to your normal diet and medicines after the procedure. You should drink plenty of fluids to help remove all the contrast dye from your body.

How the Test is Performed
6. You can go back to your normal diet and medicines after the procedure. You should drink plenty of fluids to help remove all the contrast dye from your body.
An IVP can be used to evaluate: kidney stones An abdominal injury Bladder and kidney infections Blood in the urine Tumors
Reference：
wechat:specifiko
THANK YOU
How the Test is Performed
An IVP is done in a hospital radiology department or a health care provider's office.
How the Test is Performed
1. You may be asked to take some medicine to clear your bowels before the procedure to provide a better view of the urinary tract. You will need to empty your bladder right before the procedure starts.
6
the contrast
How the Test will Feel?
How the Test will Feel?

Some people develop a headache, nausea, or vomiting after the dye is injected.
The belt across the kidneys may feel tight over your belly area.
Why the Test is Performed?
How the Test is Performed
2. Your provider will inject an iodine-based contrast into a vein in your arm. A series of x-ray images are taken at different times. This is to see how the kidneys remove the dye and how it collects in your urine.
Review
Clear your bowel, empty your bladder
1 Inject a contrast
2 Take X-ray images
3 Ureteral compression
4 Urinate again before the final image
5 Drink more water to help remove
6
the contrast
How the Test will Feel?
How the Test will Feel?
You may feel a burning or flushing sensation in your arm and body as the contrast dye is injected. You may also have a metallic taste in your mouth. This is normal and will go away quickly.