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用于确定肾内血浆流量分布的“通过式肾造影术”的验证:与麻醉兔和猪的微球法比较

Validation of "transit renography" for the determination of the intrarenal distribution of plasma flow: comparison with the microsphere method in the anaesthetized rabbit and pig.

作者信息

Wilkinson S P, Bernardi M, Pearce P C, Britton K E, Brown N J, Poston L, Clarke M, Jenner R, Williams R

出版信息

Clin Sci Mol Med. 1978 Sep;55(3):277-83. doi: 10.1042/cs0550277.

Abstract
  1. The spectrum of transit times of sodium o-iodohippurate (Hippuran) through the kidney can be derived from an 131I- (or 123I-) labelled Hippuran renogram by deconvolution. In the rabbit and pig, as has previously been shown in man, the frequency distribution curve for the transit times was bimodal. Since the transit time is likely to be proportional to the nephron length, the area of the first mode is likely to represent plasma flow to the shorter outer cortical nephrons whereas the delayed mode represents flow to the long juxtamedullary nephrons. 2. This interpretation was tested by simultaneously comparing renography with the microsphere method of measuring intrarenal plasma flow distribution in 12 rabbits and two pigs with a variety of anaesthetics. A close agreement was found between both methods for the percentage of plasma flow distributed to the outer cortical nephrons, thus supporting the use of "transit renography" to determine the intrarenal distribution of plasma flow.
摘要
  1. 邻碘马尿酸钠(Hippuran)通过肾脏的转运时间谱可通过对131I-(或123I-)标记的Hippuran肾图进行反卷积得到。如先前在人体中所显示的那样,在兔和猪中,转运时间的频率分布曲线是双峰的。由于转运时间可能与肾单位长度成正比,所以第一个峰的面积可能代表流向较短的外皮质肾单位的血浆流量,而延迟峰则代表流向长的近髓肾单位的流量。2. 通过在12只兔和2头猪中使用多种麻醉剂,同时比较肾图与测量肾内血浆流量分布的微球法,对这一解释进行了验证。两种方法在分配到外皮质肾单位的血浆流量百分比方面发现了密切的一致性,从而支持使用“转运肾图”来确定肾内血浆流量分布。

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