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[利用单次血样在斜率清除法中同时测定肾小球滤过率(GRF)和有效肾血浆流量(ERPF),采用99mTc-DTPA和131I-马尿酸盐]

[Simultaneous determination of the GRF and the ERPF (effective renal plasma flow) using a single blood sample in the slope clearance with 99mTc-DTPA and I 131-hippurate].

作者信息

Schumann L, Esther G, Wüstenberg P W, Hortian B

机构信息

Klinik für Innere, Wilhelm-Pieck-Universität Rostock.

出版信息

Z Urol Nephrol. 1990 Jul;83(7):391-7.

PMID:2238881
Abstract

In patients with various indications to renal split function diagnostics the plasma slope clearance of the Tc99m-DTPA and J131-Hippurate to the estimation of GFR and ERPF were performed with two or three blood samples in the monocompartment model (1 KM). In comparison these functional parameters were calculated on the basis of the only least blood sample (single-point procedure--EPV). The results of linear regression GFR (1 KM) = 12.7 + 0.978 * GFR (EPV), r = 0.986, N = 102 or ERPF (1 KM) = 22 + 1.13 * ERPF (EPV), r = 0.889, N = 68 may recommend the use as patient-safe procedure especially in poor venous access. Two short BASIC programs for estimation of GFR and ERPF are presented and the error ranges discussed.

摘要

在有各种肾脏分肾功能诊断指征的患者中,采用单室模型(1 KM),通过采集两到三份血样来测定Tc99m - DTPA和J131 - 马尿酸盐的血浆斜率清除率,以评估肾小球滤过率(GFR)和有效肾血浆流量(ERPF)。相比之下,这些功能参数是基于唯一的最少血样(单点法 - EPV)计算得出的。线性回归结果显示GFR(1 KM) = 12.7 + 0.978 * GFR(EPV),r = 0.986,N = 102;或ERPF(1 KM) = 22 + 1.13 * ERPF(EPV),r = 0.889,N = 68,这表明该方法尤其适用于静脉通路不佳的患者,可作为一种安全的检测方法。文中给出了两个用于估算GFR和ERPF的简短BASIC程序,并讨论了误差范围。

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