Fischer H W, Katzberg R W, Morris T W, Spataro R F
Radiology. 1984 Apr;151(1):31-3. doi: 10.1148/radiology.151.1.6701329.
Ninety-seven patients who were undergoing excretory urography for suspected genitourinary tract abnormalities were continuously monitored for systemic blood pressure and pulse rates before (control) and after rapid intravenous injections of contrast material (1.5 ml/kg meglumine iothalamate, 60%) using a Bard pressure monitor. We report the systemic responses observed. Clinically obvious reactions to contrast medium were recorded and compared with the blood pressure and pulse rate responses. The most common response to rapid infusion of contrast medium was a transient hypotension. An increase in systemic pressure had a high association with nausea and vomiting. Significant hypotension (mean blood pressure less than 60 mm Hg) was observed in six patients (6%), but no overt clinical manifestations were present.
97例因怀疑存在泌尿生殖道异常而正在接受排泄性尿路造影的患者，在使用巴德压力监测仪于快速静脉注射造影剂（1.5 ml/kg 60% 碘他拉葡胺）之前（对照）和之后，持续监测其全身血压和脉搏率。我们报告所观察到的全身反应。记录对造影剂的明显临床反应，并与血压和脉搏率反应进行比较。快速输注造影剂最常见的反应是短暂性低血压。全身压力升高与恶心和呕吐高度相关。6例患者（6%）出现显著低血压（平均血压低于60 mmHg），但无明显临床表现。
