Berkseth R O, Kjellstrand C M
Med Clin North Am. 1984 Mar;68(2):351-70. doi: 10.1016/s0025-7125(16)31135-x.
Contrast nephropathy is the third most common cause of hospital-acquired renal insufficiency. While its exact pathogenesis is unclear, patients with existing renal disease are now known to be at increased risk for developing this complication. Identification of these patients by determination of serum creatinine levels may enable avoidance of contrast exposure or initiation of suitable therapy to minimize this complication if exposure to contrast is unavoidable.
对比剂肾病是医院获得性肾功能不全的第三大常见原因。虽然其确切发病机制尚不清楚,但现已知道患有现有肾脏疾病的患者发生这种并发症的风险增加。通过测定血清肌酐水平来识别这些患者,可能有助于避免接触对比剂,或者在不可避免接触对比剂时启动适当治疗,以尽量减少这种并发症。