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新型水溶性造影剂用于腰椎脊髓造影的经验(作者译)

[Experience with e new water soluble contrast medium for lumbar myelography (author's transl)].

作者信息

Vogelsang H, Speck U, Becker P, Blumenbach L, Busse O

出版信息

Rontgenblatter. 1976 Apr;29(4):201-6.

PMID:822502
Abstract

Meglumin-Iodrinat has been synthesized as the contrasting part of Myelografin by Schering AG. and tested for lumbar Myelography in animal experiments. The excellent neural and general compatibility justified a first clinical trial. 200 patients were examined, 100 each with following upright or lying down positions. There were no local symptoms, no signs of spinal or cerebral irritation. This is seen to be the main advantage compared with drugs used so far. Intensity of contrast corresponded with that of Conray 60 and Dimer X. The most common complaints like headache and nausea were interpreted as CSF hypotension and can be clearly reduced by lying down. Also the concentration of the contrastmedium diminishes more rapidly with the patient lying down.

摘要

泛影葡胺由先灵公司合成,作为碘苯酯的造影剂部分,并在动物实验中用于腰椎脊髓造影测试。其出色的神经和全身耐受性使得首次临床试验成为可能。对200名患者进行了检查,其中100名采用直立位,100名采用卧位。未出现局部症状,也没有脊髓或脑部刺激的迹象。与目前使用的药物相比,这被视为主要优势。造影强度与康瑞60和二聚体X相当。最常见的不适如头痛和恶心被解释为脑脊液低压,躺下后可明显减轻。而且患者躺下时造影剂的浓度下降得更快。

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