Mamdani B H, Mehta P K, Mahurkar S D, Sassoon H, Dunea G
JAMA. 1975 Dec 8;234(10):1054-6.
High-dose bolus urography was evaluated in 38 patients with severe renal failure. Iothalamate meglumine (Conray 60) (2 ml/kg of body weight) was injected within one minute and nephrotomograms were taken for 30 minutes, with delayed films until 24 hours. Immediate nephrograms were obtained in all cases. The collecting systems, seen in 29 cases, were dilated in three. In the rest, obstruction could be ruled out by a combination of roentgenographic criteria. No untoward reactions occurred, and all the required information was obtained within 30 minutes. The results were superior to plain nephrotomography or infusion pyelography. We conclude that bolus nephrotomography is the procedure of choice in the investigation of severe renal failure.
对38例严重肾衰竭患者进行了大剂量团注尿路造影评估。在1分钟内注射碘他拉葡胺（康瑞60）（2毫升/千克体重），并在30分钟内拍摄肾断层照片，延迟拍片至24小时。所有病例均获得了即时肾图。在29例中可见集合系统，其中3例扩张。其余病例通过X线检查标准组合可排除梗阻。未发生不良反应，所有所需信息均在30分钟内获得。结果优于普通肾断层摄影或静脉肾盂造影。我们得出结论，团注肾断层摄影是严重肾衰竭检查的首选方法。
