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泛影葡胺系一种含碘,高渗性血管造影剂,在某些颅内肿瘤,脑动静脉畸形、脑动脉瘤的诊治方面有着CT 所不能代替的作用,但偶会引起肾损害。现将作者遇到的2例由泛影葡胺行脑血管造影引起的肾损害报告如下,以引起同道重视。例1:男,49岁。拟诊“左顶叶脑膜瘤”收住本科。体检:神清,右下肢肌力Ⅳ级,Hb140g/L,WBC7.5×10~9/L,BT30s;CT45s;尿糖(一),
Meglumine diatrizoate is a kind of iodine and hypertonic vascular contrast agent, which has the irreplaceable role of CT in the diagnosis and treatment of some intracranial tumors, cerebral arteriovenous malformations and cerebral aneurysms, but can even cause kidney damage. Now the author encountered 2 cases of angiogenesis due to diatrizoate meglumine damage reported as follows, to attract the same attention. Example 1: Male, 49 years old. The proposed diagnosis of “left parietal meningioma” admitted to undergraduate. Physical examination: Shen Qing, right lower extremity muscle strength grade Ⅳ, Hb140g / L, WBC7.5 × 10 ~ 9 / L, BT30s; CT45s;