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200例甲泛葡胺脊髓造影的后遗症

Sequelae of metrizamide myelography in 200 examinations.

作者信息

Baker R A, Hillman B J, McLennan J E, Strand R D, Kaufman S M

出版信息

AJR Am J Roentgenol. 1978 Mar;130(3):499-502. doi: 10.2214/ajr.130.3.499.

Abstract

Twenty pediatric and 180 adult patients underwent myelography using metrizamide (Amipaque). All patients were examined and interviewed before and after the studies. New or exacerbated symptoms attributed to metrizamide myelography were graded according to severity. After the procedure, 51 of 200 patients were unchanged from baseline. Headache was the most common complaint, with an overall incidence of 62%. Nausea and/or vomiting occurred in 38%. Back or leg pain, neck stiffness, temperature elevation, and a variety of less common manifestations were also observed. The incidence of sequelae was higher than in comparable Scandinavian studies with this contrast medium.

摘要

20名儿科患者和180名成年患者接受了使用甲泛葡胺(阿米培克)的脊髓造影检查。所有患者在检查前后均接受了检查和访谈。将归因于甲泛葡胺脊髓造影的新症状或加重症状根据严重程度进行分级。检查后,200名患者中有51名与基线相比无变化。头痛是最常见的主诉,总发生率为62%。恶心和/或呕吐发生率为38%。还观察到背部或腿部疼痛、颈部僵硬、体温升高以及各种较不常见的表现。与使用这种造影剂的斯堪的纳维亚同类研究相比,后遗症的发生率更高。

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