放射性对比介质的不良反应:预防和治疗
1Servicio de Alergia, Hospital Universitario de la Princesa, Instituto de Investigación Sanitaria Princesa (IIS-P), Madrid, Spain.
Radiologia
|November 27, 2024
概括
放射性对比介质可以引起诸如损伤和过敏等不良反应. 这项研究为管理这些反应提供了指导,包括过敏算法和对比介质使用建议.
科学领域:
- 放射学 放射学是一门学科.
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 放射性对比介质 (含和基于的) 可以引起各种不良反应.
- 类型A反应与剂量相关,包括对比后急性损伤和其他器官特异性影响.
- 过敏反应是不可预测的,从轻微到严重的过敏反应.
研究的目的:
- 介绍一种用于区分和分级对比介质反应的算法.
- 概述对即时过敏反应的治疗策略,强调过敏管理.
- 为管理需要对比剂的先前过敏症患者提供建议.
主要方法:
- 关于对比剂的不良反应现有文献的审查.
- 开发一种用于反应评估和严重程度分级的临床算法.
- 根据反应严重程度制定治疗指南.
- 对患者管理的建议,包括替代对比剂和前期治疗策略.
主要成果:
- 类型A反应与对比剂的药理学和患者因素 (例如,功能不全) 有关.
- 过敏反应需要及时识别和管理,肌内上腺素作为关键治疗方法.
- 在高风险患者中,选择替代对比剂和仔细选择患者,而不是进行常规前期治疗.
结论:
- 对比介质反应的有效管理需要了解A型与过敏的区别.
- 对诊断,严重程度评估和治疗的结构化方法至关重要.
- 个性化的患者管理,考虑到先前的反应和替代药物,提高了安全性.
相关概念视频
Radiological Investigation I: X-ray and CT
214
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
214
Imaging Studies for Cardiovascular System V: CT
3
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
3
Imaging Studies I: CT and MRI
197
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
197
Radiological Investigation III: Pulmonary Angiogram and PET Scan
86
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
86
Imaging Studies for Cardiovascular System III: X-Ray
145
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
145
Imaging Studies for Cardiovascular System IV: CMRI
6
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
6


