| 摘要: |
| 本研究回顾性分析我院1990年1月至2007年4月行血管造影检查的386例患者中发生造影剂肾损害的临床资料，探讨造影剂诱发心急生肾损害(CIN)的影响因素。
1临床资料
1.1一般资料22例患者中男性15例，女性7例，平均年龄（64.5±13.0）岁。原发病：尿路结石8例，糖尿病4例，脑血管病2例，冠心病5例，慢性肾盂肾炎1例，肾结核2例。5例因合并尿路及肺部感染，使用第二、三代头孢及氨基糖苷类抗生素治疗1周左右；5例因水肿使用袢利尿剂；脑血管病2例造影前均使用甘露醇治疗近1周。所有病例于造影前检查尿常规、肾功能均在正常值范围。造影剂为碘海醇。CIN诊断标准：造影术后48～72 h血肌酐（Scr）较造影前基础水平升高≥25%，或升高≥44.2 μmol/L。
...... |
| 关键词: 造影剂 急性肾损害 造影剂肾病 |
| DOI：10.3724/SP.J.1008.2008.00270 |
| 投稿时间：2007-12-06修订日期：2008-03-11 |
| 基金项目: |
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| Contrast-induced acute nephropathy: a clinical analysis of 22 cases |
| Wu Qing-zhuang |
| () |
| Abstract: |
| Abstact Objectives To explore the effects of the primary affection and relative risks on occurance and developing of contrast material nephropathy. Methods Retrospective analysis have been taken on 386 patients who were given with angiography before. Results Acute renal injuries have been observed in 22 patients among 386 cases. The incidence was 5.7%. Also we can find that the incidence was the highest in diabetes patients with about 17%. Conclusion Acute renal injuries induced by contrast medium mainly lie on whether the risks exist or not, which should be thought much. |
| Key words: |
