Małecka J, Grzeszczak W, Zukowska-Szczechowska E, Jendryczko A, Baczyński R
Szpitala Miejskiego Stalownik, Bielsko-Biała.
Przegl Lek. 1994;51(7):291-5.
The aim of the study was obtain answers the following questions: 1. Are serum cadmium concentrations in patients with chronic renal failure (CRF) different from levels in healthy subjects? 2. Are serum concentrations of above mentioned metal different between haemodialysed and non-haemodialysed patients. 3. Are serum cadmium concentrations changing during haemodialysis? 66 patients with chronic renal failure (42 patients treated with haemodialysis and 24 non-haemodialysed patients) and 16 healthy subjects were observed. The blood samples in non-haemodialysed patients and healthy subjects were withdrawn only after cannula had been inserted into the antebrachial vein. The blood samples in haemodialysed patients were withdrawn four times: just before dialysis, during haemodialysis (in one hour of dialysis just in front of dialyser and just behind one) and after haemodialysis. Cadmium concentrations in serum in all examined group and cadmium concentrations in dialysis fluid and in demineralised water were measured by flame atomic absorption spectrophotometry. No significant changes were observed in serum cadmium concentration between patients with CRF and healthy subjects. Cadmium-concentration in non-haemodialysed patients was significantly higher than in haemodialysed patients. During haemodialysis a significant increase of serum cadmium level was observed.
本研究的目的是回答以下问题:1. 慢性肾衰竭(CRF)患者的血清镉浓度与健康受试者的水平是否不同?2. 接受血液透析和未接受血液透析的患者上述金属的血清浓度是否不同?3. 血液透析期间血清镉浓度是否会发生变化?观察了66例慢性肾衰竭患者(42例接受血液透析治疗的患者和24例未接受血液透析的患者)以及16名健康受试者。未接受血液透析的患者和健康受试者仅在将套管插入前臂静脉后采集血样。接受血液透析的患者采集血样4次:透析前、血液透析期间(透析1小时时,分别在透析器前和透析器后)以及透析后。通过火焰原子吸收分光光度法测量所有检测组血清中的镉浓度以及透析液和去离子水中的镉浓度。CRF患者和健康受试者之间的血清镉浓度未观察到显著变化。未接受血液透析的患者镉浓度显著高于接受血液透析的患者。血液透析期间观察到血清镉水平显著升高。