Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, 50612, Gyeongsangnam-do, Korea.
Department of Orthopedic Surgery, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan, Korea.
BMC Pediatr. 2024 Oct 15;24(1):660. doi: 10.1186/s12887-024-05144-9.
Magnetic resonance imaging (MRI) is one of the most widely used tests in orthopedic areas. Gadolinium-based magnetic resonance (MR) contrast media are commonly used for MRI tests. They are known to be safe with little side effects and low incidence of acute adverse reactions. Although not common, immediate hypersensitivity reaction can occur in some patients after administration of gadolinium-based MR contrast media, causing skin rash, vascular edema, dyspnea, abdominal pain, hypotension, altered mental status, cardiopulmonary arrest, and even death. During a knee joint MRI test in a 5-year-old boy, anaphylaxis, a serious symptom, occured after injecting gadolinium-based MR contrast medium. Here we report this case along with a literature review.
磁共振成像（MRI）是骨科领域最常用的检查之一。钆基磁共振（MR）对比剂常用于 MRI 检查。它们被认为是安全的，副作用小，急性不良反应发生率低。虽然不常见，但在一些患者中，在给予钆基 MR 对比剂后可能会发生即刻超敏反应，导致皮疹、血管性水肿、呼吸困难、腹痛、低血压、意识改变、心肺骤停，甚至死亡。在一名 5 岁男孩的膝关节 MRI 检查中，在注射钆基 MR 对比剂后发生了严重的过敏反应。我们在此报告该病例并进行文献复习。
