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作者为核实血管造影后肾衰竭的实际发生率,对537个行脑、腹部或外周血管造影的病人做了18个月的长期研究。每例病人均记载病史、造影检查要点及造影前后的实验室检查。观察的病人包括造影前存在肾功能不全;肝硬变或肝功损害;血浆白蛋白降低;尿浓缩;病理性蛋白尿;痛风或高尿酸血症;糖尿病等,也注意到一些病人有高血压或有高血压及心肌梗死病史。所有检查均经股或腋动脉进路,以Seldinger 技术施行。脑血管造影用Conray-6030～500毫升,平均115毫升;腹部与外周血管用Con ray-60加/或Isopaque125～425毫升,平均210毫升。每例应用的造影剂总剂量为1～5毫升/公斤,平均2毫升/公斤。检查前不限制液体入量,术中静注与冲
To verify the actual incidence of post-angiographic renal failure, the authors conducted a 18-month long-term study of 537 patients with cerebral, abdominal or peripheral angiography. Each patient records the history, contrast test points and before and after contrast laboratory tests. The observed patients included renal insufficiency prior to angiography, cirrhosis of the liver or liver damage, decreased plasma albumin, urine concentration, pathological proteinuria, gout or hyperuricemia, diabetes, etc. Some patients also noted high blood pressure Or have a history of hypertension and myocardial infarction. All exams were performed via the stock or axillary approach with Seldinger technique. Cerebral angiography with Conray-6030 ~ 500 ml, an average of 115 ml; abdominal and peripheral vascular Con ray-60 plus / or Isopaque 125 ~ 425 ml, an average of 210 ml. The total dose of contrast medium used per application is 1 to 5 ml / kg with an average of 2 ml / kg. Check before the liquid is not limited, intraoperative intravenous and red