CAJ | 학술논문

目的评价嗜铬细胞瘤患者注射低渗非离子型碘对比剂进行CT增强检查的安全性.方法连续记录205例临床疑诊为肾上腺肿瘤患者检查前10 min(T0)及CT增强检查后5 min(T1)、10 min(T2)、20min(T3)、30 min(T4)、24h(T5)的收缩压(SBp)、舒张压(DBp)及心率(HR).其中50例经手术后病理证实为嗜铬细胞瘤患者作为A组；其余经临床及手术后病理排除嗜铬细胞瘤,从中随机抽取50例作为对照组(B组),统计分析2组各时间点血压和心率的变化情况.结果 2组检查前后及2组间各时间点的血压和心率均值比较无显著差异.2组均未发现注射对比剂后发生高血压危象者.结论静脉注射低渗非离子型碘对比剂不会引起嗜铬细胞瘤患者血压和心率的明显变化,嗜铬细胞瘤患者接受CT增强检查与其他肾上腺肿瘤患者具有同样的安全性.
목적 평개기락세포류환자주사저삼비리자형전대비제진행CT증강검사적안전성.방법 련속기록205례림상의진위신상선종류환자검사전10 min(T0)급CT증강검사후5 min(T1)、10 min(T2)、20min(T3)、30 min(T4)、24h(T5)적수축압(SBp)、서장압(DBp)급심솔(HR).기중50례경수술후병리증실위기락세포류환자작위A조；기여경림상급수술후병리배제기락세포류,종중수궤추취50례작위대조조(B조),통계분석2조각시간점혈압화심솔적변화정황.결과 2조검사전후급2조간각시간점적혈압화심솔균치비교무현저차이.2조균미발현주사대비제후발생고혈압위상자.결론 정맥주사저삼비리자형전대비제불회인기기락세포류환자혈압화심솔적명현변화,기락세포류환자접수CT증강검사여기타신상선종류환자구유동양적안전성.
[Objective] To assess the safety of patients with pheochromocytoma receiving iodinated contrast media injection during enhanced CT examination.[Methods] The systolic pressure,diastolic pressure,heart rate of 205 patients with suspected diagnosis of adrenal pheochromocytoma were continuously recorded 10 minutes before the examination,and 5 minutes,10 minutes,20 minutes,30 minutes,and 24 hours after the examination.Among them,50 patients whose diagnosis were confirmed by pathology as pheochromocytoma were set as group A.Others were excluded pheochromocytoma and 50 were extracted from them and named as the control group(group B).The changes of blood pressure and heart rate were analyzed at different time points.[Results] The changes of blood pressure and heart rate before and after the examination in two groups showed no significant difference,as well as those at different time points between two groups.[Conclusions] Intravenous injection of low-osmolar iodinated contrast media does not induce changes of blood pressure and heart rate in pheochromocytoma patients.Pheochromocytoma patients have the same safety as patients with other adrenal carcinoma during enhanced CT examination.