Endres P, Kley R, Heintz R
Klin Wochenschr. 1975 Jun 15;53(12):575-8. doi: 10.1007/BF01468902.
According to earlier observations no further augmentation of urea clearance should be possible above a urine flow of 2 ml/min (so-called augmentation limit). In normal people and in patients with renal insufficiency no augmentation limit of urea and creatinine clearance could be ascertained: increasing urine flow was correlated with augmentation of urea and creatinine clearance. Calculating the protein equivalent the augmentation of urea excretion by increased diuresis seems to be of clinical importance only in the treatment of renal insufficiency with small basic diuresis.
根据早期观察结果,当尿流率超过2ml/min(所谓的增强极限)时,尿素清除率不应再有进一步提高。在正常人和肾功能不全患者中,未确定尿素和肌酐清除率的增强极限:尿量增加与尿素和肌酐清除率的提高相关。通过增加利尿来计算蛋白质当量,尿素排泄量的增加似乎仅在治疗基础尿量少的肾功能不全时具有临床意义。