论文部分内容阅读
1例85岁女性患者为明确疾病诊断行下肢动脉及冠状动脉造影术,术中使用造影剂碘克沙醇150 ml。造影术前患者血尿素5.8 mmol/L,肌酐105μmol/L,钾4.2 mmol/L,钠134 mmol/L,氯97 mmol/L;造影术后第2天出现反酸、恶心、无尿,血尿素10.9 mmol/L,肌酐125μmol/L,尿蛋白(++);第3天仍旧少尿,血尿素13.0 mmol/L,肌酐170μmol/L,钾3.5 mmol/L,钠128 mmol/L,氯98 mmol/L。考虑为碘克沙醇所致急性肾损伤。给予利尿、血液滤过、纠正电解质紊乱等治疗,患者血肌酐水平逐渐下降,造影术后第16天患者好转出院。
A 85-year-old female patient underwent a definite diagnosis of lower extremity arterial and coronary angiography. The contrast agent iodixanol 150 ml was used intraoperatively. Before angiography, blood urea 5.8 mmol / L, creatinine 105 μmol / L, potassium 4.2 mmol / L, sodium 134 mmol / L and chlorine 97 mmol / L; acid reflux, nausea, anuria, Urea 10.9 mmol / L, creatinine 125 μmol / L, urinary protein (++); the third day still oliguria, blood urea 13.0 mmol / L, creatinine 170μmol / L, potassium 3.5 mmol / L, sodium 128 mmol / 98 mmol / L. Considered as acute kidney injury caused by iodixanol. Given diuretic, hemofiltration, electrolyte imbalance correction and treatment, the patient’s serum creatinine levels decreased gradually, the patients on the 16th day after angiography were discharged.