Burchardt U, Peters J E
Z Gesamte Inn Med. 1975 Mar 15;30(6):248-51.
3 patients with chronic nephropathies were given 20 ml of a diatrizoate-X-ray contrast medium, 500 ml of a 10% mannitol solution and 500 ml of a 10% dextran solution intravenously, and the behaviour of the excretion of protein, alanine aminopeptidase, beta-glucuronidase, aryl sulphatase A and lysozyme with the urine was tested. After application of these substances a transient increase of the excretion of alanine aminopeptidase, aryl sulphatase A and protein takes place. Conspicuous is the temporary decrease of the beta-glucuronidase activity in the urine after application of these hypertonic solutions. As a common cause of these changes alterations of the tubular cell in the sense of an osmotic nephropathy are to be assumed.
给3例慢性肾病患者静脉注射20毫升泛影葡胺X线造影剂、500毫升10%甘露醇溶液和500毫升10%右旋糖酐溶液,并检测尿液中蛋白质、丙氨酸氨基肽酶、β-葡萄糖醛酸酶、芳基硫酸酯酶A和溶菌酶的排泄情况。应用这些物质后,丙氨酸氨基肽酶、芳基硫酸酯酶A和蛋白质的排泄出现短暂增加。值得注意的是,应用这些高渗溶液后,尿液中β-葡萄糖醛酸酶活性暂时降低。这些变化的常见原因可推测为肾小管细胞发生了渗透性肾病意义上的改变。