对质对比的过敏不会预测在生殖尿路外科手术中对比使用的不良反应
Amir S Patel1, Perry Xu1, Kyle Tsai1
1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Journal of endourology
|February 17, 2026
概括
之前的对比性过敏不会预测尿路手术中对化对比剂 (ICM) 的严重不良反应 (SAR). 常规的手术前过敏预防 (PAP) 也不能预防这些罕见的反应.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是指放射学
- 麻醉学 麻醉学
背景情况:
- 含的对比介质 (ICM) 增强了成像效果,但可能导致严重的过敏反应 (SAR).
- 以前对对比剂或贝类过敏不是ICM反应的可靠预测因素.
- 预先过敏的预测价值和手术前过敏预防 (PAP) 对于尿路手术中使用的ICM的疗效尚不清楚.
研究的目的:
- 评估先前对ICM (a-ICM) 或PAP的过敏是否可以预测在接受尿路透镜检查 (URS) 或皮肤瘤切除术 (PCNL) 的患者中的SAR.
主要方法:
- 在22年内对12020名接受URS或PCNL治疗的患者进行了回顾性研究.
- 患有a-ICM的患者根据PAP状态和手术类型进行了分析.
- 主要结局包括手术后的ICU入院和手术期间使用上腺素作为SARs的替代品.
主要成果:
- 在所有手术中观察到的低SAR率为0.5%.
- 在患有和没有a-ICM的患者之间没有发现SAR率的显著差异 (0.4%对0.5%,p=1.00).
- 后勤回归显示SAR和a-ICM或PAP之间没有显著的相关性. 美国麻醉学会更高的分数,女性性别和更长的住院时间与SARS相关.
结论:
- 在URS或PCNL期间对ICM的严重不良反应并不常见.
- 之前的对照过敏不会预测SARs.
- 在手术前的过敏预防并不能在这个患者队列中常规预防SAR.
关键词:
过敏是一种过敏.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含有的化物.通过皮肤进行nephrolithotomy.尿路透镜检查 尿路透镜检查更多相关视频
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