Kondo K, Kamidono S, Hamami G
Department of Urology, Faculty of Medicine, Kobe University.
Hinyokika Kiyo. 1988 Oct;34(10):1845-51.
Iopamidol (Iopamiron 370) was examined for use in intravenous urography in 37 patients who previously developed adverse reactions to conventional ionic contrast media or had a history of allergy. The patients were divided into three groups (group A1:22 patients with previous adverse reactions to contrast media, but without history of allergy, group A2:8 patients with previous adverse reactions to contrast media and with history of allergy, group B:7 patients with a history of allergy, but without experience of using contrast media. Adverse reactions to iopamidol were observed in 6 patients (one in group A1, four in group A2, one in group B) and there were no serious adverse reactions. In conclusion, iopamidol seems to be a safe contrast medium for the patients without history of allergy, but we should examine it carefully as in the case of conventional ionic contrast media.
对37例既往对传统离子型造影剂出现不良反应或有过敏史的患者,使用碘帕醇(碘必乐370)进行静脉尿路造影检查。患者分为三组(A1组:22例既往对造影剂有不良反应但无过敏史;A2组:8例既往对造影剂有不良反应且有过敏史;B组:7例有过敏史但无造影剂使用经历)。6例患者出现碘帕醇不良反应(A1组1例,A2组4例,B组1例),无严重不良反应。总之,对于无过敏史的患者,碘帕醇似乎是一种安全的造影剂,但我们应像对待传统离子型造影剂那样仔细检查。