脊髓造影术中意外鞘内使用离子型造影剂。
Inadvertent intrathecal use of ionic contrast media for myelography.
作者信息
Bøhn H P, Reich L, Suljaga-Petchel K
机构信息
Nycomed AS, Torshov, Oslo, Norway.
出版信息
AJNR Am J Neuroradiol. 1992 Nov-Dec;13(6):1515-9.
PURPOSE
To describe instances of inadvertent intrathecal injection of ionic contrast media and to consider treatment approaches, and diagnostic and medicolegal issues.
METHODS
Ten cases of inadvertent injection, of which nine were reported to the manufacturers/authors and one appeared in the literature, are related with emphasis on similarity of reactions.
RESULTS
Six criteria are enumerated and used to coin the term "ascending tonic-clonic seizure syndrome."
CONCLUSIONS
Therapeutic possibilities seem limited, but several methods for controlling seizures are suggested. The importance of identifying the contrast material is underscored. Awareness of the grave possibility of administering the wrong contrast material is the first step in avoiding this problem; awareness of the symptoms is the first step toward therapy.
目的
描述意外鞘内注射离子型造影剂的病例，探讨治疗方法以及诊断和法医学问题。
方法
报告了10例意外注射病例，其中9例报告给了制造商/作者，1例出现在文献中，重点阐述了反应的相似性。
结果
列举了六项标准并用于创造“上行性强直阵挛性癫痫综合征”这一术语。
结论
治疗可能性似乎有限，但提出了几种控制癫痫发作的方法。强调了识别造影剂的重要性。意识到使用错误造影剂的严重可能性是避免此问题的第一步；意识到症状是治疗的第一步。
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