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[造影剂诱导的急性肾损伤——德国心脏病学会和德国肾脏病学会“心脏与肾脏”工作组共识文件]

[Contrast medium-induced acute kidney injury-Consensus paper of the working group "Heart and Kidney" of the German Cardiac Society and the German Society of Nephrology].

作者信息

Latus J, Schwenger V, Schlieper G, Reinecke H, Hoyer J, Persson P B, Remppis B A, Mahfoud F

机构信息

Klinik für Nieren‑, Hochdruck- und Autoimmunerkrankungen, Klinikum der Landeshauptstadt Stuttgart, Stuttgart, Deutschland.

Zentrum für Nieren‑, Hochdruck- und Stoffwechselerkrankungen, Hannover, Deutschland.

出版信息

Internist (Berl). 2021 Jan;62(1):111-120. doi: 10.1007/s00108-020-00938-2.

Abstract

This consensus paper summarizes the expert consensus and recommendations of the working group "Heart and Kidney" of the German Cardiac Society (DGK) and the German Society of Nephrology (DGfN) on contrast medium-induced acute kidney injury. Potentially nephrotoxic contrast agents containing iodine are frequently used in interventional medicine and for computer tomography diagnostics. Acute kidney injury occurs in approximately 8-17% of patients exposed to contrast media. The risk factors and underlying pathophysiology are discussed and recommendations for the prophylaxis and treatment of contrast medium-induced acute nephropathy are presented.

摘要

本共识文件总结了德国心脏病学会(DGK)和德国肾脏病学会(DGfN)“心脏与肾脏”工作组关于造影剂诱导的急性肾损伤的专家共识及建议。含碘的潜在肾毒性造影剂常用于介入医学和计算机断层扫描诊断。在接触造影剂的患者中,约8 - 17%会发生急性肾损伤。文中讨论了风险因素和潜在病理生理学,并提出了预防和治疗造影剂诱导的急性肾病的建议。

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