阳性胃肠对比介质的安全性. 由ESUR对比媒体安全委员会更新的指南
Carmen Sebastià1, Aart J van der Molen2, Francisco Vega3
1Department of Radiology, Hospital Clinic de Barcelona, Barcelona, Spain.
European radiology
|March 12, 2026
概括
阳性胃肠道 (GI) 对比介质 (CM) 的安全性非常好,恶心和吐是最常见的不良反应. 新的配方比旧的配方更安全,更具口感.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在2000年之前报告的阳性GI对比介质 (CM) 的不良影响需要进行更新的安全性审查.
- 目前基于和硫酸的GICM的安全数据需要评估.
研究的目的:
- 审查当前消化道 (GI) 阳性对比介质 (CM) 的安全概况.
- 更新欧洲泌尿生殖器放射学协会关于肠道肠道瘤安全性的指南.
主要方法:
- 从2000年到2025年进行系统的文献搜索.
- 包括随机对照试验,比较研究,评论和病例报告.
- 基于和硫酸的CM的不良影响分析.
主要成果:
- 恶心,吐和腹是基于肠道离子的CM最常见的副作用.
- 肺部并发症和过敏反应对于基CM很罕见.
- 恶心,吐和便秘是硫酸CM的常见症状;腹膜内泄漏可能导致并发症.
结论:
- 阳性GICM具有出色的安全性,与旧的假设相反.
- 基于非离子,低奥斯莫尔的CM是首选的,因为口服使用的可口性.
- 如果发生泄漏,硫酸CM携带炎症反应和粘附的风险;及时诊断至关重要.
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