磁共振成像（MRI）检查期间注射钆剂后发生弥漫性肺泡出血。
Diffuse alveolar hemorrhage after gadolinium injection during a MRI.
作者信息
Bertin Lise, Guillet Henri, Aloui Khouloud, Bonnefoy Valentine, Guillaud Constance, Dubos-Lascu Georgeta, Souare Issa, Gohier Lucas, Khellaf Mehdi
机构信息
Service du département d'aval des urgences, Hôpital Henri Mondor, AP HP, 94000, Créteil, France.
Service des urgences (SAU), Hôpital Henri Mondor, AP HP, 94000, Créteil, France.
出版信息
Respir Med Case Rep. 2020 Feb 6;29:101021. doi: 10.1016/j.rmcr.2020.101021. eCollection 2020.
Gadolinium is a frequently used contrast product for MRI exam. It is well known to be less immuno-reactive than iodine used in tomodensitometry but is safety is not completely exempt of secondary effect. Here we report one case of acute interstitial pulmonary toxicity due to gadolinium. After quick elimination of others possible diagnosis and broncho-alveolar lavage we establish the link between acute intra-alveolar hemorrhage and gadolinium injection.
钆是磁共振成像（MRI）检查中常用的造影剂。众所周知，它的免疫反应性比体层摄影术所用的碘要低，但它并非完全没有副作用。在此，我们报告一例由钆引起的急性间质性肺毒性病例。在迅速排除其他可能的诊断并进行支气管肺泡灌洗后，我们确定了急性肺泡内出血与钆注射之间的联系。
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