Fox K M, Patel R G, Bonvicini M, Taylor J F, Graham G R
Eur J Cardiol. 1977 Jul;5(5):373-80.
The results were analysed of 485 (biplane) cineangiocardiograms performed in 200 consecutive cardiac investigations on neonates (under 4 wk) and infants (4 wk to 1 yr). 10 deaths occurred during or within 24 h of cardiac catheterization, all in patients who were profoundly acidemic because of their hemodynamic disturbance. A total dose of Cardio-Conray at any one investigation of 4-5 ml/kg body weight was satisfactory and without undue risk. Single injections of 1.5-2.0 ml/kg body weight were safe whilst providing optimal diagnostic information. The interval between multiple injections did not appear to affect the risk to the patients.
对200例新生儿(4周龄以下)和婴儿(4周龄至1岁)进行心脏检查时所做的485例(双平面)心血管造影结果进行了分析。10例患者在心脏导管插入术期间或术后24小时内死亡,所有这些患者均因血流动力学紊乱而严重酸中毒。在任何一次检查中,总剂量为4 - 5毫升/千克体重的心血管造影剂碘酞葡胺是令人满意的,且没有不必要的风险。单次注射1.5 - 2.0毫升/千克体重是安全的,同时能提供最佳的诊断信息。多次注射之间的间隔似乎并未影响患者所面临的风险。