Side effects of iodine-water fallopian tube radiography

Bilateral fallopian tube iodized oil contrast examination needs to be carried out under X-ray and needs to be performed by a gynecologist with the cooperation of a radiologist. First, the patient takes the lithotomy position, the cervix is ​​exposed, basic disinfection is performed, a water tube is placed into the uterine cavity, and then the contrast agent iohexol is slowly introduced. When the amount introduced reaches more than 5 ml, direct X-rays are started. Through the iodized oil in the pelvis and the contrast agent in the uterine cavity, the shape of the uterine cavity, the degree and location of fallopian tube blockage, and the diffusion of contrast agent in the pelvis can be determined, thereby determining the general condition of the female urinary system, whether the bilateral fallopian tubes are unobstructed, or providing specific reminders for further treatment.

The iodine water contrast examination mentioned here generally refers to the injection of iodine-containing contrast agent and saline into blood vessels together for imaging on CT scans. The side effects of such a process mainly include the following aspects. The severity of side effects can be divided into mild, mild to moderate, and moderate to severe. Mild reactions include redness of the cheeks, increased secretions from the eyes and nose, sneezing, nausea, headache, dizziness, itching, fever, conjunctival congestion, etc. When similar reactions occur, the injection should be stopped, and the patient should be allowed to rest quietly, and comfort and explain the situation to relax him.

Mild to moderate reactions generally include palpitations and shortness of breath, severe vomiting, abdominal pain and diarrhea, large-area rash, conjunctival hemorrhage, etc., mainly manifested as measles-like rash, edema of the face, eyes, ears, etc., chest tightness and shortness of breath, shortness of breath, difficulty breathing, hoarse pronunciation, body convulsions, etc., and there is also a certain degree of mild to moderate vomiting, mild laryngeal edema and bronchial spasm, etc. When such conditions occur, the injection of contrast agent should be stopped immediately. The key to solving the above reactions includes oxygen administration and injection of allergy drugs.

For patients who do not have hypertension, heart disease but have hyperthyroidism, 0.5 mg of adrenaline can be injected. When low blood pressure occurs combined with bradycardia, 500-1000mL of blood substitute should be quickly infused, plus 0.5-3.0Mg of atropine should be injected intravenously.