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腰椎脊髓造影中造影剂剂量与不良反应的关系。

Relationship between contrast medium dose and adverse effects in lumbar myelography.

作者信息

Wilmink J T, Lindeboom S F, Vencken L M, vd Burg W

出版信息

Diagn Imaging Clin Med. 1984;53(4):208-14.

PMID:6380885
Abstract

In a prospective double-blind randomized study involving 40 patients undergoing lumbar myelography, an attempt was made to correlate adverse effects of the examination with contrast medium dosage. Metrizamide for myelography is dispensed in two dosage aliquots, 3.75 and 6.75 g. In one group of 20 patients (10 males and 10 females) the higher dose was utilized routinely, in a second similar group the lower dose. 24 h after myelography complaints of headache were noted in 9 out of 40 patients; nausea, sometimes with vomiting, in 3 out of 40, and giddiness or light-headedness in 6 out of 40. No other side effects were registered. Complaints after myelography occurred significantly more often in females than in males, but there was no correlation between the incidence of complaints and the dose of metrizamide administered.

摘要

在一项涉及40例接受腰椎脊髓造影患者的前瞻性双盲随机研究中,尝试将检查的不良反应与造影剂剂量相关联。用于脊髓造影的甲泛葡胺以两种剂量分装,分别为3.75克和6.75克。在一组20例患者(10例男性和10例女性)中常规使用较高剂量,在另一组类似患者中使用较低剂量。脊髓造影后24小时,40例患者中有9例出现头痛主诉;40例中有3例出现恶心,有时伴有呕吐,40例中有6例出现头晕或头重脚轻。未记录到其他副作用。脊髓造影后的主诉在女性中比男性更频繁地出现,但主诉发生率与所给予的甲泛葡胺剂量之间没有相关性。

相似文献

1
Relationship between contrast medium dose and adverse effects in lumbar myelography.腰椎脊髓造影中造影剂剂量与不良反应的关系。
Diagn Imaging Clin Med. 1984;53(4):208-14.
2
Iohexol 240 mgr I/ml and metrizamide 240 mgr I/ml in lumbar myelography. Report from a randomized double blind study.
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Lumbar myelography with iohexol and metrizamide: a comparative multicenter prospective study.碘海醇与甲泛葡胺腰椎脊髓造影:一项多中心前瞻性对比研究。
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Lumbar myelography with iohexol and metrizamide. A comparative multicenter prospective study.碘海醇和甲泛葡胺腰椎脊髓造影。一项多中心前瞻性比较研究。
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[Adverse reactions during ascending cervical myelography using iopamidol and metrizamide--a double-blind study].[使用碘帕醇和甲泛葡胺进行颈椎上行脊髓造影时的不良反应——一项双盲研究]
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引用本文的文献

1
Multiple subcortical haemorrhages following lumbar metrizamide myelography.腰椎甲泛葡胺脊髓造影术后多发性皮质下出血
J Neurol. 1987 Apr;234(3):177-9. doi: 10.1007/BF00314139.
2
Sex and age related differences in postmyelographic adverse reactions. A prospective study of 1765 myelographies.脊髓造影术后不良反应的性别和年龄相关差异。对1765例脊髓造影术的前瞻性研究。
Neuroradiology. 1989;31(4):331-5. doi: 10.1007/BF00344177.