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一例碘海醇致迟发性过敏反应的病例分析 被引量:5

Analysis of a case of delayed anaphylaxis induced by iohexol
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摘要 碘海醇是临床进行诊断和介入治疗时常用的非离子型碘对比剂,与离子型碘对比剂相比药品不良反应(ADRs)发生率明显降低,但恶心、呕吐、荨麻疹和瘙痒等ADRs在临床常见,严重的ADRs如过敏性休克等也会发生[1]。非离子型碘对比剂急性过敏反应常发生在用药后1 h内,而迟发性过敏反应发生在用药后1 h至7 d[2],国内有文献报道两者的发生率相当[3]。
作者 关嘉良 刘贺萍 季波 GUAN Jialiang;LIU Heping;JI Bo
出处 《药学服务与研究》 CAS 2020年第5期396-399,共4页 Pharmaceutical Care and Research
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  • 2Mudassar Baig,Ahmad Farag,Jamal Sajid,Rahul Potluri,R Bruce Irwin,Hafiz Mohammed Idrees Khalid.Shellfish allergy and relation to iodinated contrast media: United Kingdom survey[J].World Journal of Cardiology,2014,6(3):107-111. 被引量:3
  • 3全国eGFR课题协作组.MDRD方程在我国慢性肾脏病患者中的改良和评估[J].中华肾脏病杂志,2006,22(10):589-595. 被引量:706
  • 4无.慢性稳定性心绞痛诊断与治疗指南[J].中华心血管病杂志,2007,35(3):195-206. 被引量:2065
  • 5ACR Manual on Contrast Media version 9. ACR Committee on Drugs and Contrast Media. 2013.
  • 6Solomon RJ, Natarajan MK, Doucet S, et al. Cardiac angiography in renally impaired patients (CARE) study: a randomized double-blind trial of contrast-induced nephropathy in patients with chronic kidney disease. Circulation, 2007, 115:3189-3196.
  • 7ESUR Guidelinesversion 8. ESUR Contrast Media Safety Committee. 2012.
  • 8Lang DM, Alpern MB, Visintainer PF, et al. Elevated risk of anaphylactic reaction from radiographic contrast media is associated with both beta-blocker exposure and cardiovascular disorders. Arch Intern Med, 1993, 153:2033-2040.
  • 9Chen Y, Hu S, Liu Y, et al. Renal tolerability of iopromide and iodixanol in 562 renally impaired patients undergoing cardiac catheterisation: the DIRECT study. Eurlntervention, 2012, 22:830-838.
  • 10Wright RS, Anderson JL, Adams CD, et al. 2011 ACCF/AHA Focused Update of the Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction (Updating the 2007 Guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation, 2011, 123:2022-2060.

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