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一种基于内源性肌酐药代动力学考虑来监测肾功能的新的简单快速方法。

A new simple and rapid method to monitor the renal function based on pharmacokinetic consideration of endogeneous creatinine=.

作者信息

Chiou W L, Hsu F H

出版信息

Res Commun Chem Pathol Pharmacol. 1975 Feb;10(2):315-30.

PMID:1153839
Abstract

Based on the linear single-compartment pharmacokinetic consideration of endogeneous creatinine a new equation is derived to estimate the true creatinine renal clearance and hence the renal function of a patient; By using this equation one can estimate clinically the creatinine renal clearance of a patient simply by measuring the creatinine serum levels at two different times without the necessity of urine collection. Almost a perfect prediction of the status of renal function in two anephric patients was demonstrated using this proposed methodmwith a sensitive assay technique for endogeneous creatinine, the proposed equation would enable on to monitor the creatinine clearance on an hourly basis= The method is especially valuable to monitor the rapidly changing (improving or deteriorating) renal function in all types of patients and also in certain groups of patients whose urine is difficult to ba accurately collected;

摘要

基于内源性肌酐的线性单室药代动力学考虑,推导了一个新的方程来估计患者的真实肌酐肾清除率,从而评估其肾功能;使用该方程,只需在两个不同时间测量血清肌酐水平,无需收集尿液,就能临床估计患者的肌酐肾清除率。使用这种方法,结合灵敏的内源性肌酐检测技术,几乎能完美预测两名无肾患者的肾功能状态,还能每小时监测肌酐清除率。该方法对于监测各类患者,尤其是尿液难以准确收集的特定患者群体中快速变化(改善或恶化)的肾功能特别有价值。

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