《急診每日一題》做造影劑CT需要停止二甲雙胍嗎?2021年9月
Question?問題:
An ED patient who takes metformin requires a CT with IV contrast. Must this patient have metformin held for 48 hours??
一個服用二甲雙胍急診患者需要做靜脈造影劑(增強)CT。這個患者必須停服二甲雙胍48個小時嗎?
Answer?答案:
There is no evidence that supports discontinuing metformin prior to and after administering iodinated contrast if a patient has an eGFR of at least 30 and has no evidence acute kidney injury。
沒有證據(jù)支持腎小球濾過率大于30并沒有急性腎損傷患者在給含碘造影劑前和后停止二甲雙胍。
參考文獻:
Emerg Radiol.2020;27:115
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