Theodorou Stasinos, Glennon Peter
University Hospital of Coventry and Warwickshire, Cardiology, Clifford Bridge Road, Coventry CV2 2DX, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1040. Epub 2009 Apr 28.
Contrast nephrotoxicity is a common and well-documented complication of procedures utilising x ray contrast medium. It should be looked for whenever patients are exposed to contrast medium as it carries a good prognosis if managed appropriately, with only a minority of cases requiring dialysis. It is essential, however, that other causes of renal dysfunction are excluded before making a firm diagnosis of contrast nephropathy. Any delay in administering the appropriate treatment depending on the underlying pathology can result in devastating consequences. The differential diagnosis of acute renal failure is extensive and a systematic diagnostic approach should always be observed.
对比剂肾病是使用X射线造影剂的检查中常见且有充分文献记载的并发症。只要患者接触造影剂，就应留意该并发症，因为如果处理得当，其预后良好，只有少数病例需要透析。然而，在确诊对比剂肾病之前，必须排除肾功能不全的其他原因。根据潜在病理情况给予适当治疗的任何延迟都可能导致灾难性后果。急性肾衰竭的鉴别诊断范围广泛，应始终采用系统的诊断方法。
