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[造影剂对慢性肾功能不全患者尿路造影的肾毒性]

[Nephrotoxicity of contrast media for urography in patients with chronic renal insufficiency].

作者信息

Bergia R, Dionisio P, Valenti M, Palladino M, Caramello E, Graziola M, Origlia P G, Bajardi P

出版信息

Minerva Med. 1983 Jun 8;74(24):1411-5.

PMID:6856150
Abstract

The incidence of nephrotoxicity caused by intravenous pielography (IVP) contrast media was retrospectively evaluated in 42 patients with chronic renal failure. In 14 patients renal function was acutely impaired after IVP. In most cases the dysfunction was only temporary; in 3 cases permanent damage was induced, one of which required dialytic treatment. In the cases described there appears to be no correlation between the degree of renal failure and the incidence of nephrotoxicity but the former is clearly linked to the severity of the nephrotoxic response.

摘要

对42例慢性肾衰竭患者静脉肾盂造影(IVP)造影剂所致肾毒性的发生率进行了回顾性评估。14例患者在IVP后肾功能急性受损。在大多数情况下,功能障碍只是暂时的;3例导致了永久性损伤,其中1例需要透析治疗。在所描述的病例中,肾衰竭程度与肾毒性发生率之间似乎没有相关性,但前者显然与肾毒性反应的严重程度有关。

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