| 碘造影剂引起严重副反应的回顾性分析 |
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| 引用本文： | 杨学东,张志良,马戈,边云,洪伟,叶喜林. 碘造影剂引起严重副反应的回顾性分析[J]. 东南国防医药, 2010, 12(2): 120-121,127 |
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| 作者姓名： | 杨学东 张志良 马戈 边云 洪伟 叶喜林 |
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| 作者单位： | 解放军411医院放射科,上海,200081 |
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| 摘 要： | 目的分析碘造影剂引起的严重副反应的临床病例，探讨其作用机理。方法收集22682例使用离子型和非离子型碘造影剂病例，进行回顾性分析。结果离子型造影剂发生严重过敏性休克4例，截瘫1例；非离子型造影剂发生严重过敏性休克3例。结论离子型和非离子型碘造影剂均可引起严重的副反应，加用地塞米松不能完全避免副反应的发生。
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| 关 键 词： | 造影剂 副反应 过敏反应 |
Retrospective analysis of severe adverse reaction induced by iodine contrast media |
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| YANG Xue-dong,ZHANG Zhi-liang,MA Ge,BIAN Yun,HONG Wei,YE Xi-lin. Retrospective analysis of severe adverse reaction induced by iodine contrast media[J]. Journal of Southeast China National Defence Medical Science, 2010, 12(2): 120-121,127 |
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| Authors: | YANG Xue-dong ZHANG Zhi-liang MA Ge BIAN Yun HONG Wei YE Xi-lin |
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| Affiliation: | . (Department of Radiology, 411 Hospital of PLA ,Shanghai 200081 ,China ) |
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| Abstract: | Objective To analyze the adverse reaction of iodine contrast media and to investigate its mechanism. Methods To retrospectively analyze 22 682 cases who were injected ionic and nonionic io- dine contrast media. Results 4 patients had severe allergic shock in ionic contrast media group, 1 patient had paraplegia,and 3 patients had severe allergid shock in nonionic contrast media group. Conclusion Both ionic and nonionic iodine contrast media can have severe adverse reaction. Administration of contrast media with dexamethasone can not absolutely prevent from adverse reaction. |
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| Keywords: | iodine contrast medium adverse reaction allergic reaction |
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