Göthlin J
Scand J Urol Nephrol. 1977;11(2):159-63. doi: 10.3109/00365597709179710.
In 19 patients with renal carcinomas determination of the renal blood flow and related parameters were determined. In 10 of the kidneys the renal blood flow was higher than 1700 ml/min, in five kidneys the vascular volume was increased and in all kidneys the appearance time of dye in the renal vein was below normal. It is concluded that AV-shunting is present in all renal carcinomas even if they are hypovascularized or cystic. Underperfusion is supposed to be present in the normal renal parenchyma surrounding the carcinoma. The shunted amount of blood can be fairly large, in the present series up to 3 1/2 litre. The dye dilution technique is suitable for studies of the hemodynamics in renal carcinomas.
对19例肾癌患者的肾血流及相关参数进行了测定。10个肾脏的肾血流高于1700毫升/分钟，5个肾脏的血容量增加，所有肾脏中染料在肾静脉中的出现时间均低于正常。得出的结论是，所有肾癌中均存在动静脉分流，即使它们血管化程度低或呈囊性。推测癌周围正常肾实质存在灌注不足。分流的血量可能相当大，在本系列中可达3.5升。染料稀释技术适用于研究肾癌的血流动力学。
