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[腹部血管造影术后不久水溶性碘化造影剂的肝胆排泄]

[Hepato-biliary excretion of water-soluble iodinated contrast medium shortly after abdominal angiography].

作者信息

Kaizu T, Tajima H, Ichikawa T, Kumazaki T

机构信息

Department of Radiology, Nippon Medical School.

出版信息

Nihon Igaku Hoshasen Gakkai Zasshi. 1995 Dec;55(15):1038-41.

PMID:8587844
Abstract

Thirty-nine patients underwent CT examination 15 to 30 min after abdominal angiography with ioxaglate. Gallbladder opacification was observed in 15 patients in the absence of clinical evidence of renal impairment. Among them, 14 patients revealed liver cirrhosis or chronic hepatitis, and one patient showed severe fatty liver on CT. The amount of contrast medium used varied from 70 ml to 310 ml (mean 180 ml). There was no significant relationship between visualization of the gallbladder and the total dose of ioxaglate or presence of liver dysfunction, which indicated that gallbladder opacification was not a rare phenomenon on CT shortly after abdominal angiography with a normal dose of ioxaglate. Gallbladder opacification on CT examination shortly after abdominal angiography shows that the hepatobiliary tract is important in the excretion of ioxaglate.

摘要

39例患者在使用碘克沙醇进行腹部血管造影后15至30分钟接受了CT检查。在没有肾功能损害临床证据的情况下,15例患者观察到胆囊显影。其中,14例患者显示肝硬化或慢性肝炎,1例患者CT显示重度脂肪肝。使用的造影剂剂量从70毫升到310毫升不等(平均180毫升)。胆囊显影与碘克沙醇总剂量或肝功能障碍的存在之间无显著关系,这表明在使用正常剂量碘克沙醇进行腹部血管造影后不久,CT上胆囊显影并非罕见现象。腹部血管造影后不久CT检查发现的胆囊显影表明,肝胆道在碘克沙醇的排泄中起重要作用。

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