[1]李继霞 黄宝生.糖尿病患者使用碘对比剂安全性循证评价[J].介入放射学杂志,2009,(08):636.
LI Ji-xia HUANG Bao-sheng.The evidence-based evaluation of the safety of contrast media in patients with diabetes mellitus[J].journal interventional radiology,2009,(08):636.
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糖尿病患者使用碘对比剂安全性循证评价()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2009年08期
- 页码:
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636
- 栏目:
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综述
- 出版日期:
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2009-08-15
文章信息/Info
- Title:
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The evidence-based evaluation of the safety of contrast media in patients with diabetes mellitus
- 作者:
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李继霞 黄宝生
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甘肃省张掖市人民医院影像中心,734000
- Author(s):
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LI Ji-xia HUANG Bao-sheng
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- 关键词:
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糖尿病 对比剂肾病 碘对比剂 不良反应 安全性 循证医学
- 分类号:
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R587.1
- 摘要:
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对比剂肾病(CIN)已成为医院获得性肾病的第三大病因,糖尿病(DM)、对比剂类型和动脉途径给药是CIN的重要风险因素.在使用碘对比剂的DM和肾功能不全人群中,CIN的发生率甚高,影像与介入医师对此尚未得到足够重视.本文就DM患者使用碘对比剂的安全性、各种对比剂的肾毒性等进行了循证评价,单纯DM患者使用低渗非离子型造影剂相对安全;高风险患者静脉使用碘对比剂不会对患者肾功能产生永久性损害,DM肾病或DM合并肾功能不全者动脉注射低渗对比剂(LOCM)发生CIN的风险较大,此类患者使用等渗对比剂(IOCM)碘可沙醇发生的风险较低且经济有效.
参考文献/References:
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更新日期/Last Update:
2009-08-15