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大型血管造影术后肾衰竭。

Renal failure after major angiography.

作者信息

Eisenberg R L, Bank W O, Hedgcock M W

出版信息

Am J Med. 1980 Jan;68(1):43-6. doi: 10.1016/0002-9343(80)90163-1.

DOI:10.1016/0002-9343(80)90163-1
PMID:7350804
Abstract

A recently reported 12 per cent incidence of renal failure following angiography prompted our prospective study to substantiate or repudiate this seemingly excessive rate. In 100 consecutive patients, there was no instance of renal failure following angiography. The results of our study indicate that when adequate hydration is maintained angiography does not pose a "significant hazard" of renal failure as previously reported, even in patients with underlying medical problems.

摘要

最近报道的血管造影术后肾衰竭发生率为12%,这促使我们开展前瞻性研究,以证实或反驳这一看似过高的发生率。在连续100例患者中,血管造影术后未出现肾衰竭病例。我们的研究结果表明,只要保持充足的水化,血管造影术就不会像之前报道的那样带来肾衰竭的“重大风险”,即使是有基础疾病的患者。

相似文献

1
Renal failure after major angiography.大型血管造影术后肾衰竭。
Am J Med. 1980 Jan;68(1):43-6. doi: 10.1016/0002-9343(80)90163-1.
2
Renal failure after major angiography can be avoided with hydration.通过水化可以避免重大血管造影术后的肾衰竭。
AJR Am J Roentgenol. 1981 May;136(5):859-61. doi: 10.2214/ajr.136.5.859.
3
Angiographically induced renal failure and its radiographic detection.血管造影诱发的肾衰竭及其影像学检测
AJR Am J Roentgenol. 1976 May;126(5):1039-45. doi: 10.2214/ajr.126.5.1039.
4
Acute renal failure following spinal angiography with methylglucamine iothalamate. Case report.用碘他拉葡甲胺进行脊髓血管造影后发生急性肾衰竭。病例报告。
Radiology. 1972 Sep;104(3):561-2. doi: 10.1148/104.3.561.
5
Acute renal failure after angiography.
Am J Roentgenol Radium Ther Nucl Med. 1974 Jul;121(3):544-50. doi: 10.2214/ajr.121.3.544.
6
Prevention of contrast-induced nephropathy in vascular patients undergoing angiography: a randomized controlled trial of intravenous N-acetylcysteine.血管造影术血管患者中对比剂肾病的预防:静脉注射N-乙酰半胱氨酸的一项随机对照试验
J Vasc Surg. 2004 Dec;40(6):1136-41. doi: 10.1016/j.jvs.2004.09.026.
7
Low incidence of renal failure after angiography.血管造影术后肾衰竭发生率低。
Arch Intern Med. 1981 Sep;141(10):1268-70.
8
Effect of hydration with or without n-acetylcysteine on contrast induced nephropathy in patients undergoing coronary angiography and percutaneous coronary intervention.水化联合或不联合N-乙酰半胱氨酸对接受冠状动脉造影和经皮冠状动脉介入治疗患者造影剂肾病的影响。
Mymensingh Med J. 2011 Apr;20(2):264-9.
9
Simultaneous hemodialysis during coronary angiography fails to prevent radiocontrast-induced nephropathy in chronic renal failure.冠状动脉造影期间同步进行血液透析无法预防慢性肾衰竭患者的放射性造影剂诱发的肾病。
Clin Nephrol. 2003 Sep;60(3):176-82. doi: 10.5414/cnp60176.
10
Acute renal failure. A complication of cerebral angiography.
Arch Neurol. 1976 Oct;33(10):687-8. doi: 10.1001/archneur.1976.00500100021009.

引用本文的文献

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Contrast-Induced Acute Kidney Injury: Evidence in Support of Its Existence and a Review of Its Pathogenesis and Management.对比剂诱导的急性肾损伤:支持其存在的证据及其发病机制与管理的综述
Int J Nephrol Renovasc Dis. 2022 Oct 11;15:253-266. doi: 10.2147/IJNRD.S371700. eCollection 2022.
2
Guideline on the use of iodinated contrast media in patients with kidney disease 2018.《2018年肾病患者使用碘化造影剂指南》
Jpn J Radiol. 2020 Jan;38(1):3-46. doi: 10.1007/s11604-019-00850-2.
3
Guideline on the use of iodinated contrast media in patients with kidney disease 2018.
《2018年肾病患者使用碘化造影剂指南》
Clin Exp Nephrol. 2020 Jan;24(1):1-44. doi: 10.1007/s10157-019-01750-5.
4
No prophylaxis is non-inferior and cost-saving to prophylactic intravenous hydration in preventing contrast-induced nephropathy on requiring iodinated contrast material administration.在需要使用碘化造影剂时,在预防造影剂肾病方面,没有任何预防措施在效果上不劣于预防性静脉补液且成本更低。
J Thorac Dis. 2017 Jun;9(6):1440-1442. doi: 10.21037/jtd.2017.05.59.
5
Guidelines on the use of iodinated contrast media in patients with kidney disease 2012: digest version : JSN, JRS, and JCS Joint Working Group.2012年肾病患者使用碘化造影剂指南:摘要版:日本肾脏病学会、日本放射学会和日本循环系统学会联合工作组
Clin Exp Nephrol. 2013 Aug;17(4):441-79. doi: 10.1007/s10157-013-0843-3.
6
Guidelines on the use of iodinated contrast media in patients with kidney disease 2012: digest version. JSN, JRS, and JCS Joint Working Group.2012年肾病患者使用碘化造影剂指南:摘要版。日本肾脏病学会(JSN)、日本放射学会(JRS)和日本循环系统学会(JCS)联合工作组
Jpn J Radiol. 2013 Aug;31(8):546-84. doi: 10.1007/s11604-013-0226-4.
7
Cardiological Society of India practice guidelines for angiography in patients with renal dysfunction.印度心脏病学会关于肾功能不全患者血管造影的实践指南。
Indian Heart J. 2012 Dec;64 Suppl 2(Suppl 2):S18-43. doi: 10.1016/j.ihj.2012.11.007. Epub 2012 Nov 17.