Dube L J, Blair I G, Geoffroy G
Department of Neuroradiology, Ste-Justine Hospital, Montreal, P.Q., Canada.
Pediatr Radiol. 1992;22(4):290-2. doi: 10.1007/BF02019863.
32 paediatric patients requiring myelography were studied with iohexol 210 mgI/ml (n = 15) and iohexol 180 mgI/ml (n = 17). Visualization was good or excellent in over 90% of the group receiving the higher concentration and in over 83% of the lower. There were no side effects in either group and vital signs were not significantly altered during the procedure. In the majority of patients (14/18) who had CT, additional diagnostic information was obtained. Iohexol 180 mgI/ml is preferred for routine use, but 210 mgI/ml may give superior visualization with no apparent added risk. Procedural technique and good communication with the patients and their families may have contributed to the absence of side effects.
对32例需要进行脊髓造影的儿科患者使用碘海醇进行研究，其中210mgI/ml组15例，180mgI/ml组17例。在接受较高浓度碘海醇的组中，超过90%的患者显影良好或极佳；在较低浓度组中，这一比例超过83%。两组均未出现副作用，且在操作过程中生命体征无明显改变。在大多数进行CT检查的患者（14/18）中，获得了额外的诊断信息。常规使用时首选180mgI/ml的碘海醇，但210mgI/ml的碘海醇可能显影更佳，且无明显额外风险。操作技术以及与患者及其家属的良好沟通可能是未出现副作用的原因。
