Harkonen S, Kjellstrand C M
Am J Med. 1977 Dec;63(6):939-46. doi: 10.1016/0002-9343(77)90549-6.
Twenty-two of 29 (76 per cent) diabetic patients with a creatinine level of more than 2 mg/100 ml had exacerbation of renal failure following intravenous pyelography. In nine patients this was irreversible. Particularly at risk seem to be patients with early onset diabetes (less than 40 years), and those patients with severe renal failure (creatine over 5 mg/100 ml). No less that 15 of 16 (93 per cent) such patients had problems after intravenous pyelography; of these, nine (56 per cent) had irreversible deterioration. This report, in context with the increasing number of case reports of similar findin.gs, indicates that intravenous pyelography is dangerous in patients with juvenile onset diabetes who have a creatinine level of more than 5 mg/100 ml.
29名肌酐水平超过2mg/100ml的糖尿病患者中，有22名（76%）在静脉肾盂造影后出现肾衰竭加重。其中9名患者的肾衰竭为不可逆性。发病较早（40岁以下）的糖尿病患者以及肾衰竭严重（肌酐超过5mg/100ml）的患者似乎尤其危险。16名此类患者中不少于15名（93%）在静脉肾盂造影后出现问题；其中9名（56%）出现了不可逆的恶化。结合越来越多类似 findings的病例报告来看，本报告表明，静脉肾盂造影对于肌酐水平超过5mg/100ml的青少年发病型糖尿病患者是危险的。 （注：原文中findin.gs拼写有误，可能是findings）
