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一例由非离子型造影剂碘海醇引起的弥散性血管内凝血罕见病例。

A rare case of disseminated intravascular coagulation caused by the nonionic contrast medium iohexol.

作者信息

Shigyo M, Tsukamoto T, Yanase M, Kumamoto Y, Aoki M, Katsumata K

机构信息

Department of Urology, Sapporo Medical University School of Medicine, Japan.

出版信息

J Urol. 1995 Jun;153(6):1901-3.

PMID:7752347
Abstract

Nonionic contrast media are reported to cause serious adverse reactions less often than ionic contrast media. However, we treated an otherwise healthy woman with a left ureteral stone in whom disseminated intravascular coagulation developed due to intravenous administration of the nonionic contrast medium iohexol. We discuss the clinical course and possible causes of disseminated intravascular coagulation. Our case emphasizes that nonionic contrast media are not free from serious adverse reactions although the incidence seems extremely low.

摘要

据报道,非离子型造影剂引起严重不良反应的频率低于离子型造影剂。然而,我们治疗了一名原本健康的左侧输尿管结石女性患者,她因静脉注射非离子型造影剂碘海醇而发生了弥散性血管内凝血。我们讨论了弥散性血管内凝血的临床过程及可能原因。我们的病例强调,尽管非离子型造影剂严重不良反应的发生率似乎极低,但并非没有此类反应。

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