静脉肾盂造影使用泛影葡胺后出现休克和非心源性肺水肿。
Shock and noncardiogenic pulmonary edema following meglumine diatrizoate for intravenous pyelography.
作者信息
Chamberlin W H, Stockman G D, Wray N P
出版信息
Am J Med. 1979 Oct;67(4):684-6. doi: 10.1016/0002-9343(79)90257-2.
PMID:495638
Abstract
In a 25 year old man shock and pulmonary edema developed following the intravenous administration of meglumine diatrizoate for an intravenous pyelogram. A pulmonary-capillary wedge pressure of 3 torr and a high protein content in the pulmonary edema effluent confirmed the diagnosis of noncardiogenic pulmonary edema. We suggest that the basis of the increased capillary permeability in this patient may be related to an immunologic reaction to intravenous pyelogram dye.
摘要
一名25岁男性在静脉注射泛影葡胺进行静脉肾盂造影后出现休克和肺水肿。肺毛细血管楔压为3托，肺水肿渗出液中蛋白质含量高，证实为非心源性肺水肿。我们认为该患者毛细血管通透性增加的原因可能与对静脉肾盂造影染料的免疫反应有关。
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