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对比剂急性肾损害的预防研究新进展 被引量：4

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摘要 随着放射显像技术尤其是冠状动脉介入的广泛开展,对比剂对肾功能的损害逐渐受到关注.对比剂性急性肾损害（contrast medium-induced acute kidney injury,CI-AKI）是指排除其他肾脏损害因素使用造影剂后3d内发生的急性肾功能损害.通常以48h内血肌酐比造影前基础水平上升25%,或是血肌酐上升44.2μmol/L为标准.最近出版的国外杂志,多以使用造影剂后3d内,血肌酐水平以〉44.2μmol/L为诊断标准.经历急诊介入治疗的CI-AKI发生率15%~30%,发生CI-AKI的患者院内病死率为未发生CI-AKI的急诊经皮冠状动脉介入治疗（percutaneous coronary intervention,PCI）患者的20倍.
作者 唐媛 周春霞 姜志安
机构地区 河北医科大学第三医院心内科
出处 《河北医科大学学报》 CAS 2013年第4期486-490,共5页 Journal of Hebei Medical University
关键词 肾功能不全 造影剂 综述文献
分类号 R595.3 [医药卫生—内科学]
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参考文献21

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二级参考文献22

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共引文献1

同被引文献37

引证文献4

二级引证文献17

河北医科大学学报
2013年 第4期

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