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[顺铂肾毒性作用的形态功能相关性]

[Morphofunctional correlates of the nephrotoxic action of cis-platin].

作者信息

Bakhteeva V T, Vinnichenko L N, Gambarian S P, Miazina E M, Natochin Iu V

出版信息

Arkh Patol. 1987;49(3):48-54.

PMID:3593006
Abstract

A single injection of 5 mg/kg cisplatin causes (in 2 days) focal changes in rat renal parenchyma. These changes correlate well with the decrease in glomerular filtration rate, increase in blood urea concentration, decrease in water load excretion. Cellular dystrophy was found in the convoluted and straight proximal renal tubules, in line with a marked thickening of basal membrane in damaged cells, that appears to account for the impairment of paraaminohippurate secretion, the increase of kidney mass and its swelling. On day 5 after injection the renal parenchyma exhibited signs of reparation, while renal function was abnormal.

摘要

单次注射5毫克/千克顺铂(2天内)会导致大鼠肾实质出现局灶性变化。这些变化与肾小球滤过率降低、血尿素浓度升高、水负荷排泄减少密切相关。在近端曲管和直小管中发现细胞营养不良,受损细胞的基底膜明显增厚,这似乎是对氨基马尿酸分泌受损、肾脏质量增加及其肿胀的原因。注射后第5天,肾实质出现修复迹象,但肾功能仍异常。

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