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Treatment of systemic reactions to contrast media.

作者信息

Bush W H

机构信息

Department of Radiology, Virginia Mason Clinic and Hospital, Seattle, Washington.

出版信息

Urology. 1990 Feb;35(2):145-50. doi: 10.1016/0090-4295(90)80064-t.

DOI:10.1016/0090-4295(90)80064-t
PMID:1968304
Abstract

Serious systemic reactions caused by currently used ionic and nonionic contrast material are the anaphylactoid (allergic-like) reaction and the vagal reaction. Each likely has more than one etiology, and certain patients are at higher risk for developing such a reaction. The urologist and radiologist must be able to differentiate between the clinical manifestations of the anaphylactoid (asthma-like) reaction and the vagal (bradycardia and hypotension) reaction. Specific treatment for the anaphylactoid reaction is low-dose epinephrine; specific treatment for the vagal reaction is intravenous fluid and high-dose atropine.

摘要

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