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麻醉猫静脉注射三种造影剂后的血流动力学和血清生化改变

Hemodynamic and serum biochemical alterations associated with intravenous administration of three types of contrast media in anesthetized cats.

作者信息

Pollard Rachel E, Puchalski Sarah M, Pascoe Peter J

机构信息

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.

出版信息

Am J Vet Res. 2008 Oct;69(10):1274-8. doi: 10.2460/ajvr.69.10.1274.

Abstract

OBJECTIVE

To determine the incidence and type of alterations in heart rate (HR), peak systolic blood pressure (PSBP), and serum biochemical variables (serum total bilirubin, BUN, and creatinine concentrations) associated with IV administration of ionic-iodinated contrast (IIC), nonionic-iodinated contrast (NIC), and gadolinium (GD) contrast media in anesthetized cats.

ANIMALS

220 anesthetized cats undergoing cross-sectional imaging.

PROCEDURES

HR and PSBP were recorded at 5-minute intervals for 20 minutes for untreated control cats and cats that received IIC, NIC, or GD contrast medium. The development of HR < 100 beats/min or > 200 beats/min that included a > or = 20% change from baseline was considered a response. The development of PSBP of < 90 mm Hg or > 170 mm Hg that included a > or = 20% change from baseline was considered a response. Pre- and postcontrast serum biochemical values were recorded. Results-Of cats receiving IIC medium, 2% (1/60) had a response in HR at > or = 1 time point. Of cats receiving IIC medium, 7% (4/60) had a response in PSBP. None of the cats receiving NIC medium had a response in HR; 2 of 12 had a response in PSBP. Of cats receiving GD contrast medium, 6% (5/83) had a response in HR and 8% (7/83) had a response in PSBP. None of the control cats had a response in HR or PSBP. No serum biochemical alterations were observed.

CONCLUSIONS AND CLINICAL RELEVANCE

IV administration of iodine and GD contrast media in anesthetized cats was associated with changes in HR and PSBP.

摘要

目的

确定在麻醉猫中静脉注射离子型碘化造影剂(IIC)、非离子型碘化造影剂(NIC)和钆(GD)造影剂后,心率(HR)、收缩压峰值(PSBP)以及血清生化指标(血清总胆红素、尿素氮和肌酐浓度)的改变发生率及类型。

动物

220只接受横断面成像的麻醉猫。

步骤

对未治疗的对照猫以及接受IIC、NIC或GD造影剂的猫,每隔5分钟记录一次HR和PSBP,持续20分钟。HR<100次/分钟或>200次/分钟且相对于基线变化≥20%被视为一种反应。PSBP<90mmHg或>170mmHg且相对于基线变化≥20%被视为一种反应。记录造影前后的血清生化值。结果:接受IIC造影剂的猫中,2%(1/60)在≥1个时间点出现HR反应。接受IIC造影剂的猫中,7%(4/60)出现PSBP反应。接受NIC造影剂的猫中,无HR反应;12只中有2只出现PSBP反应。接受GD造影剂的猫中,6%(5/83)出现HR反应,8%(7/83)出现PSBP反应。对照猫中无HR或PSBP反应。未观察到血清生化改变。

结论及临床意义

在麻醉猫中静脉注射碘造影剂和GD造影剂与HR和PSBP的变化有关。

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