並列摘要
With the expanding availability of angiography and contrast computed tomography, contrast-associated acute kidney injury (AKI) is one of the leading causes of AKI. Although not completely elucidated, direct and indirect effects are possible pathophysiological mechanisms. Pre-existing chronic kidney disease (CKD) is the strongest risk factor. Contrast-associated AKI is associated with prolonged hospitalization, increased short-term mortality, long-term mortality and accelerated progression of underlying CKD. Minimizing contrast and intravenous hydration via 0.9% saline is the mainstay of prevention.
延伸閱讀
- Hu, C. H., Su, S. T., Chang, N. J., Chung, W. H., Tian, Y. C., Chuang, S. S., & Yang, J. Y. (2013). 毒性表皮溶解壞死症候群的急性腎臟損傷. 臺灣整形外科醫學會雜誌, 22(1), 10-19. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201303-201305090039-201305090039-10-19
- 林佳慧、王桂芸（2002）。顯影劑造影導致急性腎衰竭之病生理變化個案研討。臺灣腎臟護理學會雜誌，1(2)，150-159。https://www.airitilibrary.com/Article/Detail?DocID=17267404-200212-1-2-150-159-a
- 黃道民、吳允升、台大醫院急性腎衰竭研究群（2014）。心導管手術與顯影劑相關腎病變。內科學誌，25(2)，71-74。https://doi.org/10.6314/JIMT.2014.25(2).02
- Yong, K., Dogra, G., Boudville, N., Pinder, M., & Lim, W. (2011). Acute Kidney Injury: Controversies Revisited. International Journal of Nephrology, 2011(), 705-721. https://doi.org/10.4061/2011/762634
- Huang, C. C., Lee, C. C., Chang, C. H., Chen, J. J., Yen, C. L., Chen, S. W., Hsu, H. H., Tian, Y. C., & Fan, P. C. (2019). Predicting Acute Kidney Injury After Cardiac Surgery. Acta Nephrologica, 33(3), 150-161. https://doi.org/10.6221/AN.201909_33(3).0004