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[实验性肾动脉急性狭窄的早期尿路造影(作者译)]

[The early urogram in experimental acute stenosis of a renal artery (author's transl)].

作者信息

Pemsel H K, Thermann M

出版信息

Rofo. 1978 Jun;128(6):713-9. doi: 10.1055/s-0029-1230936.

DOI:10.1055/s-0029-1230936
PMID:150374
Abstract
  1. Renal excretion as seen in the urogram does not parallel changes in blood flow. The significance of the early urogram as a test of function is therefore very limited. 2. Following acute stenosis of one renal artery, there is simultaneous excretion by both kidneys until flow is reduced to 60%; exretion is delayed, with values of 0.5 to 7.5 minutes, following reduction to 30 to 60% of the original; there is no excretion below 30%. 3. Unilateral delay in excretion occurs at about the level of "critical occlusion pressure". 4. Delayed excretion is observed at the level of the so-called "critical stenosis" of the renal artery. A reduction of flow above 20% follows a reduction of the artery in excess of 66%, corresponding with a reduction of the lumen of more than 90%. 5. These findings indicate that delayed excretion in the early urogram is to be expected only as a result of severe stenosis of the renal artery and represents a late feature of renal vascular disease.
摘要
  1. 肾盂造影所见的肾脏排泄情况与血流变化并不平行。因此,早期肾盂造影作为一项功能测试的意义非常有限。2. 一侧肾动脉急性狭窄后,两侧肾脏会同时排泄,直至血流减少至60%;血流减少至原来的30%至60%后,排泄会延迟,延迟时间为0.5至7.5分钟;血流低于30%时则无排泄。3. 单侧排泄延迟大约发生在“临界闭塞压”水平。4. 在肾动脉所谓的“临界狭窄”水平会观察到排泄延迟。动脉管径减少超过66%(相应管腔减少超过90%)时,血流会减少超过20%。5. 这些发现表明,早期肾盂造影中的排泄延迟仅在肾动脉严重狭窄时才会出现,是肾血管疾病的晚期特征。

相似文献

1
[The early urogram in experimental acute stenosis of a renal artery (author's transl)].[实验性肾动脉急性狭窄的早期尿路造影(作者译)]
Rofo. 1978 Jun;128(6):713-9. doi: 10.1055/s-0029-1230936.
2
[Excretion urogram with angiotomography sensitivity and specificity in the diagnosis of renal artery stenosis; a comparison with differences in renal size and contrast density on early films (author's transl)].排泄性尿路造影联合血管造影术对肾动脉狭窄诊断的敏感性和特异性;与早期片上肾大小及造影剂密度差异的比较(作者译)
Rofo. 1981 Apr;134(4):436-41. doi: 10.1055/s-2008-1056385.
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[The haemodynamic effects of renal artery stenosis (author's transl)].
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Dtsch Gesundheitsw. 1970 Oct 22;25(43):2032-6.
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Rofo. 1977 May;126(5):447-54. doi: 10.1055/s-0029-1230614.