Boijsen M, Jacobsson L, Tylén U
Department of Diagnostic Radiology, Sahlgren Hospital, University of Göteborg, Sweden.
Clin Physiol. 1988 Jun;8(3):309-16. doi: 10.1111/j.1475-097x.1988.tb00273.x.
In twenty-six patients examined with radiographic procedures, including a single injection of meglumine metrizoate, blood samples were drawn 180, 200, 220 and 240 min after injection. Plasma was analysed for iodine concentration with X-ray fluorescence analysis and the total plasma clearance of metrizoate was calculated with the single sample method from each sample. The results were compared with the total plasma clearance of 51Cr-EDTA, calculated from multiple samples and determined no more than a few days apart from the X-ray examination. A good correlation, ranging from 0.91 and 0.94, was found. We therefore conclude that kidney function can be estimated from a single plasma sample after contrast-enhanced radiological examinations.
对26例接受包括单次注射甲泛葡胺在内的放射检查的患者,在注射后180、200、220和240分钟采集血样。用X射线荧光分析法分析血浆中的碘浓度,并采用单样本法从每个样本计算甲泛葡胺的血浆总清除率。将结果与通过多个样本计算得出的51Cr-EDTA的血浆总清除率进行比较,51Cr-EDTA的血浆总清除率在与X射线检查相隔不超过几天的时间内测定。发现二者具有良好的相关性,范围在0.91至0.94之间。因此我们得出结论,在对比增强放射检查后,可通过单次血浆样本估计肾功能。