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单次注射菊粉清除率用于猫肾小球滤过率的常规测量。

Single-injection inulin clearance for routine measurement of glomerular filtration rate in cats.

作者信息

Haller M, Rohner K, Müller W, Reutter F, Binder H, Estelberger W, Arnold P

机构信息

Kleintierpraxis HallMa, Oberdorfstrasse 4, CH-5706 Boniswil, Switzerland.

出版信息

J Feline Med Surg. 2003 Jun;5(3):175-81. doi: 10.1016/S1098-612X(03)00005-6.

Abstract

Glomerular filtration rate (GFR) was determined in 53 cats using an inulin single-injection method. Thirty healthy young adult cats were used to establish normal values. The procedure was also used in 23 cats that were either older than 10 years or had borderline serum creatinine levels. The total clearance was calculated from the decay of the serum inulin concentration after injection of 3000 mg/m(2)body surface area using a two-compartment model. Concomitant inulin and iohexol clearance in nine cats showed excellent correlation between the two methods. Calculated normal values for GFR in 30 healthy cats were 35.9-58.5 (median 46.0) ml/min/m(2)or 2.07-3.69 (median 2.72) ml/min/kg. A few cats with normal creatinine or blood urea nitrogen levels were detected as having reduced GFR and therefore being in a state of early renal dysfunction. The study indicates that single-injection inulin clearance is a valuable tool for routine GFR measurement in cats. An "inulin excretion test" using only one blood sample 3h after the administration of 3000 mg/m(2)body surface area could prove an attractive alternative for the assessment of renal function in daily practice.

摘要

采用菊粉单次注射法对53只猫进行了肾小球滤过率(GFR)测定。使用30只健康的年轻成年猫来确定正常值。该方法也用于23只年龄超过10岁或血清肌酐水平临界的猫。注射3000mg/m²体表面积菊粉后,根据血清菊粉浓度的衰减,使用二室模型计算总清除率。9只猫的菊粉清除率和碘海醇清除率结果显示两种方法之间具有良好的相关性。30只健康猫的GFR计算正常值为35.9 - 58.5(中位数46.0)ml/min/m²或2.07 - 3.69(中位数2.72)ml/min/kg。少数肌酐或血尿素氮水平正常的猫被检测出GFR降低,因此处于早期肾功能不全状态。该研究表明,单次注射菊粉清除率是猫常规GFR测量的一种有价值的工具。在给予3000mg/m²体表面积菊粉3小时后仅采集一份血样的“菊粉排泄试验”可能是日常实践中评估肾功能的一种有吸引力的替代方法。

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