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[人体同时进行的肾清除率比较及肾碘(I125)马尿酸盐研究(作者译)]

[Simultaneous comparative renal clearances and renal iodo (I125)-hippurate in man (author's transl)].

作者信息

Gurtner J, Vorburger C, Reubi F

出版信息

Klin Wochenschr. 1978 Sep 1;56(17):865-71. doi: 10.1007/BF01479837.

Abstract

In 111 Patients with a wide range of renal function (normal to advanced renal failure) the renal clearances of Na-paraaminohippurate (CPAH) and of Na-orthojodohippurate--J125(COJ(J125(H) have been simultaneously determined under standardized clearance conditions. We found a significant correlation between the 2 parameters, defined by the equation CPAH = 1.11.COJ(J125)H. The scatter of the single observations however is considerable and hence the +/- 2Sy range is very large. The difference between the 2 clearances is not die to a competition at the same tubular carrier, since adding inactive carrier of OJH does not improve the ratio of the 2 clearances: CPAH = 1.13.COJ(J125)H. Rather the renal extraction of OJ(J125)H(EOJ(J125)H is considerably lower (74% than EPAH (90%). Our datas suggest that OJ(J125)H is not a suitable indicator to replace PAH for measurements of real renal plasma flow.

摘要

在111名肾功能范围广泛(从正常到晚期肾衰竭)的患者中,在标准化清除条件下同时测定了对氨基马尿酸钠(CPAH)和邻碘马尿酸钠——J125(COJ(J125(H)的肾清除率。我们发现这两个参数之间存在显著相关性,由方程CPAH = 1.11.COJ(J125)H定义。然而,单个观测值的离散度相当大,因此±2Sy范围非常大。这两种清除率之间的差异并非由于在同一肾小管载体上的竞争,因为添加无活性的OJH载体并不能改善这两种清除率的比值:CPAH = 1.13.COJ(J125)H。相反,邻碘马尿酸钠——J125(OJ(J125)H的肾提取率(EOJ(J125)H)明显低于对氨基马尿酸(PAH)的肾提取率(EPAH)(74%对比90%)。我们的数据表明,邻碘马尿酸钠——J125(OJ(J125)H不是替代对氨基马尿酸(PAH)用于测量实际肾血浆流量的合适指标。

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