内静脉对比与急性损伤的风险增加有关吗?
Brit Long1, Samuel M Keim2, Michael Gottlieb3
1Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.
The Journal of emergency medicine
|April 24, 2025
概括
用于计算机断层扫描 (CT) 扫描的静脉对比剂不会增加急性损伤 (AKI) 的风险. 这一发现是基于对比度使用和脏健康结果的多项研究的综述.
科学领域:
- 放射学 放射学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗成像医学成像
背景情况:
- 计算机断层扫描 (CT) 是应急环境中广泛使用的诊断工具.
- 静脉注射 (IV) 输入 静脉注射 (IV) 输入 静脉注射 对比剂在CT扫描中增强特定病理的可视化.
- 人们对静脉注射药物之间存在潜在联系存在担忧. 形成对比度和急性损伤 (AKI).
研究的目的:
- 为了确定是否有输液. 在CT成像期间给予对比剂与AKI的风险增加有关.
主要方法:
- 采用了系统审查和元分析方法.
- 评估了四个全面的系统审查和元分析.
- 这些研究评估了输液和输液之间的关联. 与CT的对比和包括AKI在内的结果,需要置换疗法和死亡率.
主要成果:
- 经过审查的文献表明,静脉注射并未显著增加AKI风险. 在CT扫描中使用对比.
- 对多个元分析的分析支持了这些发现.
- 与对比剂的使用有关的置换疗法或死亡率的风险没有增加.
结论:
- 目前的证据表明,静脉注射有助于治疗. 对于CT成像来说,对比度与AKI的更高发病率无关.
- 根据现有数据,CT对比剂的使用在功能方面似乎是安全的.
- 进一步的研究可能会改进理解,但目前的文献提供了保证.
关键词:
这就是CA-AKI.一百零五年 - - 一百零五年在CKD中,它是最好的.急性脏损伤急性脏损伤是什么慢性脏疾病 慢性脏疾病计算机断层扫描 (CT) 是一种计算机断层扫描.与对比相关的AKI与对比相关.形成对比的诱导性脏病电解质的电解质是一种电解质.通过静脉注射输入. 对比对比对比的对比对比对比的对比对比对比的对比对比对比的对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比对比影像成像技术 影像成像技术静脉注射的对比剂可以提供.脏替代疗法是指脏替代疗法.这是一种代谢性代谢.在对比后的急性损伤.放射学 放射学是指放射学脏 脏的 脏相关概念视频
Radiological Investigation I: X-ray and CT
174
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...
174
Renal Failure: Dose Adjustments
37
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
37
Imaging Studies I: CT and MRI
96
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...
96
Factors Affecting Renal Clearance: Renal Impairment
35
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
35
Heart Failure Drugs: Diuretics
291
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
291
External Anatomy of the Kidney
554
The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
554


