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[《韩国静脉注射碘造影剂和磁共振成像钆造影剂不良反应临床实践指南:修订后的临床共识与建议(2022年第3版)》]

[Korean Clinical Practice Guidelines for Adverse Reactions to Intravenous Iodinate and MRI-Gadolinium Contrast Agents: Revised Clinical Consensus and Recommendations (3rd Edition, 2022)].

作者信息

Oh Se Won, Park So Young, Yong Hwan Seok, Choi Young Hun, Cha Min Jae, Kim Tae Bum, Lee Ji Hyang, Kim Sae Hoon, Lee Jae Hyun, Hur Gyu Young, Hwang Jae Yeon, Kim Sejoong, Kim Hyo Sang, Ryu Ji Young, Choi Miyoung, Choi Chi-Hoon

出版信息

Taehan Yongsang Uihakhoe Chi. 2022 Mar;83(2):254-264. doi: 10.3348/jksr.2022.0024. Epub 2022 Mar 28.

DOI:10.3348/jksr.2022.0024
PMID:36237922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9514440/
Abstract

The Korean Society of Radiology and Medical Guidelines Committee amended the existing 2016 guidelines to publish the "Korean Clinical Practice Guidelines for Adverse Reactions to Iodide Contrast for Injection and Gadolinium Contrast for MRI: The Revised Clinical Consensus and Recommendations (2022 Third Edition)." Expert members recommended and approved by the Korean Society of Radiology, the Korean Academy of Asthma, Allergy and Clinical Immunology, and the Korean Nephrology Society participated together. According to the expert consensus or systematic literature review, the description of the autoinjector and connection line for the infection control while using contrast medium, the acute adverse reaction, and renal toxicity to iodized contrast medium were modified and added. We would like to introduce the revised contents.

摘要

韩国放射学会和医学指南委员会修订了现有的2016年指南,以发布《韩国注射用碘造影剂和MRI用钆造影剂不良反应临床实践指南:修订后的临床共识与建议(2022第三版)》。由韩国放射学会、韩国哮喘、过敏与临床免疫学会以及韩国肾脏病学会推荐并批准的专家成员共同参与。根据专家共识或系统文献综述,对使用造影剂时感染控制的自动注射器和连接线、急性不良反应以及碘造影剂的肾毒性的描述进行了修改和补充。我们将介绍修订内容。

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本文引用的文献

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Practice parameters for diagnosing and managing iodinated contrast media hypersensitivity.碘对比剂超敏反应的诊断和管理实践参数。
Allergy. 2021 May;76(5):1325-1339. doi: 10.1111/all.14656.
2
Novel Strategy for the Prevention of Recurrent Hypersensitivity Reactions to Radiocontrast Media Based on Skin Testing.基于皮肤试验的预防放射性对比剂反复过敏反应的新策略。
J Allergy Clin Immunol Pract. 2019 Nov-Dec;7(8):2707-2713. doi: 10.1016/j.jaip.2019.04.036. Epub 2019 May 10.
3
Prophylaxis in High-Risk Patients With eGFR < 30 mL/min/1.73 m2: Get the Balance Right.对于 eGFR<30 mL/min/1.73 m2 的高危患者,预防措施要把握平衡。
Invest Radiol. 2019 Sep;54(9):580-588. doi: 10.1097/RLI.0000000000000570.
4
Radiocontrast Media Hypersensitivity: Skin Testing Differentiates Allergy From Nonallergic Reactions and Identifies a Safe Alternative as Proven by Intravenous Provocation.放射性对比剂超敏反应:皮肤试验可区分过敏反应与非过敏反应,并通过静脉激发试验证实安全替代药物。
J Allergy Clin Immunol Pract. 2019 Sep-Oct;7(7):2218-2224. doi: 10.1016/j.jaip.2019.04.005. Epub 2019 Apr 10.
5
Preventing contrast medium-induced acute kidney injury : Side-by-side comparison of Swedish-ESUR guidelines.预防对比剂诱导的急性肾损伤:瑞典 ESUR 指南并排比较。
Eur Radiol. 2018 Dec;28(12):5384-5395. doi: 10.1007/s00330-018-5678-6. Epub 2018 Aug 21.
6
Screening for impaired renal function in outpatients before iodinated contrast injection: Comparing the Choyke questionnaire with a rapid point-of-care-test.碘造影剂注射前门诊患者肾功能受损的筛查:比较乔伊克问卷与即时快速检测法
Eur J Radiol. 2015 Jul;84(7):1227-31. doi: 10.1016/j.ejrad.2015.04.001. Epub 2015 Apr 13.
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Skin tests in patients with hypersensitivity reaction to iodinated contrast media: a meta-analysis.碘对比剂过敏反应患者的皮肤试验:荟萃分析。
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