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静脉造影术后血栓形成?

Thrombosis after phlebography?

作者信息

May R

出版信息

Diagn Imaging. 1979;48(4):241-3.

PMID:498921
Abstract

In contrast to the report by Albrechtsson, we have never seen clinically manifest thrombosis in more than 20,000 phlebographies; only small, clinically insignificant thrombi in a very few cases. The reason is because we have used only 40 cm3 of a 45% contrast medium in connection with heparin precaution. However, there is the possibility that the deep venous valves are damaged. Therefore Amipaque is important for the phlebography. Our test, 20 cm3 45% conventional contrast medium injected directly into varicose veins, always gives a venous thrombosis of about 20 cm. The same amount of Amipaque has never shown a reaction.

摘要

与阿尔布雷希特松的报告相反,在20000多次静脉造影中,我们从未见过临床上明显的血栓形成;只有极少数情况下出现过小的、临床上无意义的血栓。原因是我们在采取肝素预防措施时仅使用了40立方厘米的45%造影剂。然而,存在深静脉瓣膜受损的可能性。因此,阿米培克对静脉造影很重要。我们的测试是将20立方厘米45%的传统造影剂直接注入静脉曲张,总会形成约20厘米的静脉血栓。相同剂量的阿米培克从未出现过反应。

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