大剂量静脉尿路造影术在闭合性肾损伤的临床应用(附64例报告)

Clinical Application of Drip Infusion Urography in Closed Renal Injury, Report of 64 Cases

本文对我科近年来收治的64例急症闭合性肾损伤,应用大剂量静脉尿路造影检查的有关问题进行了讨论。急症创伤由于病情危重,造影前除作碘过敏试验外,无需特殊准备。造影剂要大剂量、快速静脉滴注,5分钟后拍片,对于极危重病人应造影与抢救同时进行。作者认为只要血压维持在12/6.7kPa(90/50mmHg)以上,甚至有急性肾功能衰竭或严重双肾损伤者,仍可进行该项检查。作者指出大剂量静脉尿路造影无严重反应,对疑为肾损伤者,除少数同时合并心、肝严重损害外,均应早期常规施行大剂量静脉尿路造影检查。

The related problems of the usage of DIU in 64 cases of acute closed kidney injury in recent years were discussed. Owing to the critical condition of the victim special preparation is not necessary except hypersensitive test of iodine before DIU.The dosage of contrast medium was 2ml/kg body weight and intravenous infusion should be given immediately, five minute later, X-ray examination was taken. For critical patients DIU and first aid should be perfomed at the same time. If BP maintained above 12/6.7kPa, this kind of examination should be done even the patient suffered from renal failure or severe trauma of both kidneys. It was pointed out that DIU was of no severe untoward effect. DIU should be a routine method for any patients with suspected injury of the kidney except for few patients associated with severe heart or liver damages.