Weese D L, Greenberg H M, Zimmern P E
Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California.
Urology. 1993 Jan;41(1):81-4. doi: 10.1016/0090-4295(93)90252-6.
Contrast media can be absorbed across the urothelium in amounts sufficient to cause severe anaphylactoid reactions. We report 2 cases of anaphylactoid reactions during voiding cystourethrography (VCUG) or retrograde pyelography (RGP). A retrospective review of 783 consecutive VCUGs or RGPs performed at our institution over the last five years revealed no other systemic contrast media reactions. Although our findings and a review of the literature discloses that the incidence appears to be extremely low, urologists and radiologists need to be aware that an anaphylactoid or vagal contrast medium reaction may develop during VCUGs or RGPs. In addition, these physicians need to be prepared to treat a reaction should one occur.
造影剂可经尿路上皮吸收，其吸收量足以引发严重的类过敏反应。我们报告了2例在排尿性膀胱尿道造影（VCUG）或逆行肾盂造影（RGP）过程中发生类过敏反应的病例。回顾性分析过去五年在我们机构连续进行的783例VCUG或RGP检查，未发现其他全身性造影剂反应。尽管我们的研究结果及文献回顾表明此类反应的发生率似乎极低，但泌尿外科医生和放射科医生仍需意识到，在VCUG或RGP检查过程中可能会发生类过敏或迷走神经造影剂反应。此外，这些医生需要做好准备，一旦发生反应即可进行治疗。
