Bickhardt K, Düngelhoef R
Klinik für kleine Klauentiere und forensische Medizin, Tierärztlichen Hochschule Hannover.
Dtsch Tierarztl Wochenschr. 1994 Dec;101(12):463-6.
Investigations of renal function have been done on the basis of renal clearance (Clr) and excretion (E) of endogenous creatinine in health sheep of different body weight (89 female, 19 male). Creatinine-E was negatively correlated with body weight in female sheep, it can be calculated from body weight. The Creatinine-Clr in ewes ranged from 1.1 to 2.3 ml/min/kg and was highly correlated with inulin-Clr (r = 0.88, p < 0.001). Fractional excretion (FE) of creatinine, determined by inulin-Clr was 118%. That demonstrate a tubular secretion of 15% of the total excretion. Therefore the creatinine-Clr may be considered representative enough for the glomerular filtration rate (GFR). Urea-FE was 24-50%, and urea-Clr about 50% of the inulin-Clr, that points to a high tubular urea absorption (50-75%). For that reason urea is not appropriate for the characterization of kidney functions. Water, sodium, glucose, L-lactate and 3-OH-hydroxybutyrate were absorbed in the renal tubules nearly completely (FE < 2%). So they are suitable as endogenous markers for insufficient tubular absorption. Calcium, phosphate, magnesium and potassium are reabsorbed incompletely, depending on the supply of these substances (FE 0-15%, potassium 5-100%). A method for clinical determination of kidney function by measurement of concentrations of metabolites and electrolytes in blood plasma and spontaneous urine is described and evaluated. The method is based on the calculation of the creatinine-excretion, depending on sex and body weight, and especially allows the examination of male and sick animals without quantitative sampling of urine.(ABSTRACT TRUNCATED AT 250 WORDS)
在不同体重的健康绵羊(89只雌性,19只雄性)中,基于内源性肌酐的肾清除率(Clr)和排泄率(E)对肾功能进行了研究。雌性绵羊的肌酐排泄量与体重呈负相关,可根据体重计算得出。母羊的肌酐清除率范围为1.1至2.3毫升/分钟/千克,与菊粉清除率高度相关(r = 0.88,p < 0.001)。通过菊粉清除率测定的肌酐分数排泄率(FE)为118%。这表明总排泄量的15%存在肾小管分泌。因此,肌酐清除率可被认为足以代表肾小球滤过率(GFR)。尿素分数排泄率为24 - 50%,尿素清除率约为菊粉清除率的50%,这表明肾小管对尿素有较高的重吸收(50 - 75%)。因此,尿素不适用于表征肾功能。水、钠、葡萄糖、L - 乳酸和3 - 羟基丁酸在肾小管中几乎被完全重吸收(FE < 2%)。所以它们适合作为肾小管重吸收不足的内源性标志物。钙、磷、镁和钾的重吸收不完全,取决于这些物质的供应情况(FE为0 - 15%,钾为5 - 100%)。描述并评估了一种通过测量血浆和自然尿液中代谢物和电解质浓度来临床测定肾功能的方法。该方法基于根据性别和体重计算肌酐排泄量,尤其允许在不进行尿液定量采样的情况下对雄性和患病动物进行检查。(摘要截断于250字)