血液透析患者における造影剤フルオレセイン造影後の透析の意義 : 1透析症例を通じて  [in Japanese] Significance of dialysis after contrast enhancement with a contrast medium (fluorescein) in patients receiving hemodialysis : A case report  [in Japanese]

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Abstract

蛍光眼底造影剤は,眼科領域では網脈絡膜疾患の診断,治療効果の判定に不可欠な検査である.今回,糖尿病性腎症にて血液透析中の44歳女性に対し眼底出血の疑いのため蛍光造影剤(フルオレサイト<SUP>®</SUP>静注500mg,以下一般名フルオレセインと記す)を使用した.造影後に透析を行った際,透析液排液ラインに造影剤の蛍光色が視認できたため,独自に作製したカラースケールを用いて廃液ラインの排液色の変化による造影剤除去動態を1週間経過観察した.結果,カラースケール値では,1日目開始時90,1日目終了時50,3日目開始時20,3日目終了時10,5日目開始時0,5日目終了時0であったが,5日目終了時500mL程度排液を集めると,僅かに色を確認することができた.

In the field of ophthalmology, fluorescein angiography is essential for diagnosing chorioretinopathy and evaluating treatment response. In a 44-year-old female with diabetic nephropathy receiving hemodialysis, hemorrhage of the ocular fundus was suspected, and a fluorescence contrast medium (Fluorescite for intravenous injection, 500mg or less, fluorescein) was employed. When performing dialysis after contrast enhancement, the fluorescent color of the contrast medium was visually confirmed in the drainage tube for dialytic fluid. Using a color scale that we prepared, we examined the kinetics of contrast-medium removal for 1 week based on changes in the drainage color. The color scale values were 90/50 at the start/completion of observation on Day1, 20/10 at the start/completion of observation on Day3, and 0/0 at the start/completion of observation on Day5, respectively. However, the fluorescent color of the contrast medium was faintly observed in dialytic fluid collected in a 500mL bottle at the end of the dialysis session on day5.

Journal

  • Nihon Toseki Igakkai Zasshi

    Nihon Toseki Igakkai Zasshi 44(8), 695-698, 2011-08-28

    The Japanese Society for Dialysis Therapy

References:  13

Codes

  • NII Article ID (NAID)
    10029583102
  • NII NACSIS-CAT ID (NCID)
    AN10432053
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    13403451
  • NDL Article ID
    11222748
  • NDL Source Classification
    ZS39(科学技術--医学--皮膚科学・泌尿器科学)
  • NDL Call No.
    Z19-1413
  • Data Source
    CJP  NDL  J-STAGE 
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