Mitch W E, Walser M, Buffington G A, Lemann J
Lancet. 1976 Dec 18;2(7999):1326-8. doi: 10.1016/s0140-6736(76)91974-7.
In 31 of 34 patients with chronic renal insufficiency caused by various diseaes, reciprocal serum-creatinine concentration declined linearly as creatinine concentration rose from a mean of 2-6 mg/dl to 14-8 mg/dl over an average of 71 months. These results indicate that in most cases reciprocal serum-creatinine declines linearly with time as chronic renal failure progresses. Analysis of this relation in individual patients gives an estimate of the progression of the disease, may help to determine the effects of therapy, and could be used to predict when dialysis will become necessary.
在34例由各种疾病引起慢性肾功能不全的患者中,有31例患者,随着肌酐浓度从平均2 - 6mg/dl升至14 - 8mg/dl,历时平均71个月,血清肌酐倒数浓度呈线性下降。这些结果表明,在大多数情况下,随着慢性肾衰竭的进展,血清肌酐倒数随时间呈线性下降。对个体患者这种关系的分析可估计疾病的进展,有助于确定治疗效果,并可用于预测何时需要进行透析。