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血管紧张素药物血管造影术(作者译)

[Pharmaco-angiography with angiotensin (author's transl)].

作者信息

Novak D, Weber J

出版信息

Rofo. 1976 Apr;124(4):301-9. doi: 10.1055/s-0029-1230336.

Abstract

The results of pharmacoangiography using angiotensin were compared with the findings in 101 patients during selective angiography of the kidneys (48 cases), the pancreas and liver (46 cases) and of peripheral soft tissue lesions (7 cases). Angiotensin in a dose of 0.5--l mug (renal artery), 1--5 mug (coeliac artery) and 5--10 mug (peripheral vessels) was found to be a constant and potent vaso-constrictor in 99% of cases. Intraarterial injection of angiotensin improved evaluation in 18 out of 27 cases (66%) with a final diagnosis of a tumor, in 18 out of 22 patients (77%) with cysts and in 16 out of 24 (66%) with an inflammatory process. In three out of 27 cases (11%) an angiographic diagnosis was possible only after using pharmacoangiography. The use of angiotensin represents a valuable possibility of clarifying otherwise uncertain angiographic diagnoses. This is particularly the case where superselective catheterisation is impossible.

摘要

将使用血管紧张素进行药物血管造影的结果与101例患者在肾脏选择性血管造影(48例)、胰腺和肝脏选择性血管造影(46例)以及周围软组织病变选择性血管造影(7例)中的发现进行了比较。发现剂量为0.5 - 1微克(肾动脉)、1 - 5微克(腹腔动脉)和5 - 10微克(周围血管)的血管紧张素在99%的病例中是一种持续有效的血管收缩剂。动脉内注射血管紧张素使27例最终诊断为肿瘤的病例中的18例(66%)、22例囊肿患者中的18例(77%)以及24例炎症患者中的16例(66%)的评估得到改善。在27例病例中的3例(11%)中,仅在使用药物血管造影后才得以进行血管造影诊断。使用血管紧张素为明确其他不确定的血管造影诊断提供了一种有价值的可能性。在无法进行超选择性导管插入术的情况下尤其如此。

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