Adelman R D, Conzelman G, Spangler W, Ishizaki G
Curr Probl Clin Biochem. 1979(9):166-82.
An increase in urinary enzyme activities reflected biopsy confirmed aminoglycoside nephrotoxicity (proximal tubular injury) before changes in blood urea nitrogen, serum creatinine, urinary osmolality and urinary protein excretion. Netilmicin, a semisynthetic derivative of gentamicin, was less nephrotoxic than gentamicin.
尿酶活性增加反映活检证实的氨基糖苷类肾毒性(近端肾小管损伤),早于血尿素氮、血清肌酐、尿渗透压和尿蛋白排泄的变化。奈替米星,庆大霉素的半合成衍生物,肾毒性比庆大霉素小。