Claussen C D, Duda S H, Weinmann H J
Strahlenklinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg, Freie Universität Berlin.
Rofo. 1988 Nov;149(5):529-33. doi: 10.1055/s-2008-1048397.
A monomeric ionic (meglumine diatrizoate), a monomeric non-ionic (iopromide) and a dimeric non-ionic contrast medium were intravenously administered (V. jugularis) to 15 rabbits. Blood iodine concentration as well as haematocrit were determined from blood samples taken from the femoral artery immediately after injection until the 90th second p.i. The contrast media showed clear differences concerning the haematocrit, i.e. the isotonic non-ionic dimer induced its lowest decrease. The direct determination of the blood iodine concentration revealed no significant deviations between the contrast media studied. Only non-ionic dimers are iso-osmolar with plasma at the iodine concentrations employed in diagnostic radiology. Compared with monomeric compounds this study provides fundamental evidence that isotonic, non-ionic dimeric contrast media cause only slight effects on blood cells. This confirms experimentally the clinically reported good tolerance of dimeric contrast media in patients.
将一种单体离子型(泛影葡胺)、一种单体非离子型(碘普罗胺)和一种二聚体非离子型造影剂经静脉(颈静脉)注射给15只兔子。在注射后立即从股动脉采集血样,直至注射后第90秒,测定血碘浓度和血细胞比容。造影剂在血细胞比容方面显示出明显差异,即等渗非离子型二聚体引起的降低幅度最小。血碘浓度的直接测定显示,所研究的造影剂之间没有显著偏差。在诊断放射学中使用的碘浓度下,只有非离子型二聚体与血浆等渗。与单体化合物相比,本研究提供了基本证据,表明等渗非离子型二聚体造影剂对血细胞的影响很小。这在实验上证实了临床上报道的二聚体造影剂在患者中的良好耐受性。