Recent issues in contrast-induced nephropathy

被引：17

作者：

Kitajima, Kazuhiro ^{[1
]}

Maeda, Tetsuo ^{[1
]}

Watanabe, Sanae ^{[1
]}

Sugimura, Kazuro ^{[1
]}

机构：

[1] Kobe Univ, Dept Radiol, Grad Sch Med, Chuo Ku, Kobe, Hyogo 6500017, Japan

来源：

INTERNATIONAL JOURNAL OF UROLOGY | 2011年 / 18卷 / 10期

关键词：

computed tomography; contrast medium; contrast-induced nephropathy; CHRONIC KIDNEY-DISEASE; COMPUTED-TOMOGRAPHY; RENAL-FUNCTION; ENHANCED CT; MEDIA; METAANALYSIS; RISK; NEPHROTOXICITY; OSMOLALITY; CREATININE;

D O I：

10.1111/j.1442-2042.2011.02830.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Contrast-induced nephropathy (CIN) is a serious complication resulting from the use of iodinated contrast medium (CM) with potentially high morbidity and mortality. Patients with pre-existing renal insufficiency appear to be at higher risk of CIN. To prevent CIN among patients undergoing contrast-enhanced computed tomography, every effort is required, including routine identification of at-risk patients, the use of appropriate hydration regimens, withdrawal of nephrotoxic drugs, selection of low-osmolality CM or iso-osmolar CM, and using the minimum volume of CM possible.

引用

页码：686 / 690

页数：5

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