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Evaluation of bronchospasm during excretory urography
Radiology
|July 1, 1977
Summary
Excretory urography can cause bronchospasm, significantly decreasing pulmonary function, especially in patients with a history of allergies. This effect is linked to the procedure itself, not the contrast agents used.
Area of Science:
- Pulmonary Medicine
- Radiology
- Allergy Research
Background:
- Excretory urography is a common diagnostic imaging procedure.
- Pulmonary function changes during medical procedures require investigation.
- Allergies can influence physiological responses to external stimuli.
Purpose of the Study:
- To assess the impact of excretory urography on pulmonary function.
- To investigate if allergic history affects pulmonary response during the procedure.
- To differentiate procedural effects from contrast agent effects.
Main Methods:
- Studied 57 patients undergoing excretory urography.
- Measured pulmonary function parameters before and after the procedure.
- Compared patients with and without a history of allergy.
- Included control groups receiving intravenous dextrose or saline.
Main Results:
- Significant decrease in mean pulmonary function observed in patients during excretory urography.
- Patients with a history of allergy showed greater mean decreases in flow rates.
- No significant pulmonary function decrease noted in control groups receiving dextrose or saline.
- Bronchospasm is a common finding, more pronounced in allergic patients.
Conclusions:
- Excretory urography is associated with bronchospasm and reduced pulmonary function.
- Allergic predisposition exacerbates the negative impact on pulmonary function.
- The observed effects are likely related to the urography procedure, not the injected fluids.