Kleinrok Andrzej, Kudyk Tomasz
Oddział Kardiologii Samodzielnego Publicznego Szpitala Wojewódzkiego im Papieza Jana Pawła II w Zamościu.
Przegl Lek. 2005;62 Suppl 2:57-60.
Contrast induced nephrotoxity [CIN] is a common form of hospital-acquire renal failure. Prevention can decrease the need for dialysis, morbility, and reduce health care costs. All patiens receiving iodine-contrast medium should be assessed for risk of developing CIN. Prophylaxis can reduce CIN. Patients at risk requiring injection of contrast medium [CM] with important clinical indications should receive a small dose of non-ionic iso-osmolar dimeric or non-ionic low osmolar monomeric CM and hydratation with normal saline before and after exposure. This brings the best protection with the fewest adverse effects.
对比剂诱导的肾毒性（CIN）是医院获得性肾衰竭的常见形式。预防可减少透析需求、发病率并降低医疗成本。所有接受碘对比剂的患者都应评估发生CIN的风险。预防措施可降低CIN的发生率。有重要临床指征且需要注射对比剂（CM）的高危患者，在接触对比剂前后应接受小剂量的非离子等渗二聚体或非离子低渗单体CM，并静脉输注生理盐水进行水化。这能以最少的不良反应带来最佳保护。
