Muravitskaia O S, Nevenglovskiĭ I E, Smirnova V A, Rumiantsev V B
Urol Nefrol (Mosk). 1990 Jan-Feb(1):19-22.
Osmolarity and its constituents were followed up during the treatment course in 43 patients with tuberculosis of the urinary system and in 14 controls. The authors confirmed the relation of the blood and urinary osmolarity to the stage of chronic renal failure (CRF). CRF aggravation was evidenced by the development of hypo-osmolarity in the urine and a progressing decrease in the ratio coefficient between the osmolarity in the urine and in the plasma. Stability of plasma hyperosmolarity continued to be more than 340 mosmol/kg H2O and a decrease in the aforementioned coefficient to less than 1 despite the treatment evidenced the terminal stage of CRF and unfavourable outcome of surgical intervention.
在43例泌尿系统结核患者和14例对照者的治疗过程中，对其渗透压及其成分进行了随访。作者证实了血液和尿液渗透压与慢性肾衰竭（CRF）阶段的关系。尿液低渗的出现以及尿液与血浆渗透压比值系数的逐渐降低证明了CRF的加重。尽管进行了治疗，但血浆高渗状态持续超过340 mosmol/kg H₂O，且上述系数降至小于1，这证明了CRF的终末期以及手术干预的不良结局。
