D'iakova A M, Stefani N V, Andreev V G, Pavlov V V
Med Radiol (Mosk). 1984 Aug;29(8):16-20.
Renal function was studied in patients with laryngeal cancer during radiation therapy performed under the conditions of mean fractionation in the presence of metronidazole radiosensitization up to the summary focal dose of 20 Gy. As compared to the findings before treatment an increase in the level of residual nitrogen, urea, uric acid and a decreased amount of creatinine in the plasma were noted. Decreased clearance of the urea, elevated Ambard's urosecretory constant were observed. The nature of these shifts was preserved even after the termination of subsequent radiation therapy up to the summary focal dose of 32 Gy without using the radiosensitogen. There is a possibility of a direct toxic effect of metronidazole on the renal tissue regardless of the state of oxygenation.
在甲硝唑放射增敏条件下,于平均分割放疗至总局部剂量达20 Gy的情况下,对喉癌患者的肾功能进行了研究。与治疗前的结果相比,血浆中残余氮、尿素、尿酸水平升高,肌酐量减少。观察到尿素清除率降低,安巴尔尿分泌常数升高。即使在后续放疗至总局部剂量达32 Gy且未使用放射增敏剂后,这些变化的性质仍得以保留。无论氧合状态如何,甲硝唑都有可能对肾组织产生直接毒性作用。