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对曾对造影剂有不良反应及过敏史患者进行静脉尿路造影时使用碘帕醇(碘必乐370)的研究

[A study of iopamidol (Iopamiron 370) in intravenous urography in the patients with previous adverse reactions to contrast media and history of allergy].

作者信息

Kondo K, Kamidono S, Hamami G

机构信息

Department of Urology, Faculty of Medicine, Kobe University.

出版信息

Hinyokika Kiyo. 1988 Oct;34(10):1845-51.

PMID:3245531
Abstract

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.

摘要

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。

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1
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Hinyokika Kiyo. 1988 Oct;34(10):1845-51.
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