[预防对比引起的脏病]
François Cousin1, Martin Moïse1,2, Cédric Ilbert3
1Services de Médecine Nucléaire et d'Imagerie Oncologique, CHU Liège, Belgique.
对比诱发性脏病 (CIN) 是对比染料用于成像中的损伤. 预防侧重于补水和尽量减少对比度,特别是在高风险患者中.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 对比诱导性病 (CIN) 是一种在服用有的对比剂后的并发症.
- CIN可能导致急性功能衰竭,多因素病理生理学涉及血管收缩和直接毒性.
研究的目的:
- 概述对比引起的脏病的病理生理学,危险因素和预防策略.
主要方法:
- 对CIN病理生理学和风险因素的现有文献的审查.
- 确定关键的预防措施和禁忌.
主要成果:
- CIN的病理生理学涉及脏缺氧和对比剂的潜在管状损伤.
- 危险因素包括先前存在的慢性病,脱水,心力衰竭,糖尿病和低血压 (梅兰评分).
结论:
- 预防CIN强调适当的静脉注射水和使用最低有效的对比度.
- 在高风险患者中,甲胺和NSAIDs是禁忌的;术后对功能进行监测至关重要.
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