Schmiedel E
Byk Gulden Pharmazeutika Konstanz.
Aktuelle Radiol. 1993 Jul;3(4):253-7.
The radiologist is rarely directly confronted with contrast medium-induced renal impairment or even renal failure. In contrast to allergic side effects, the disorders do not become apparent until a few days after the investigation. The relevance of "contrast-medium nephropathy" should not, however, be underestimated: prior contrast medium injections are the initial cause of at least 10% of all cases of acute renal failure. The risk associated with such an investigation can be reduced if the risk factors are known, the patient receives an affective premedication in preparation for the investigation, and if preference is given to non-ionic contrast media.
放射科医生很少直接面对造影剂诱发的肾损害甚至肾衰竭。与过敏副作用不同，这些病症直到检查后几天才会显现出来。然而，“造影剂肾病”的相关性不应被低估：在所有急性肾衰竭病例中，至少10%的初始病因是先前的造影剂注射。如果已知风险因素，患者在检查前接受有效的预处理，并且优先使用非离子型造影剂，那么与这种检查相关的风险就可以降低。
