Anger G, Senf L, Schmidt U, Macheleidt S
Z Gesamte Inn Med. 1976 Jan 15;31(2):308-10.
In routine diagnostics the glomerular filtration rate was in most cases determined by endogenic creatinine clearance. Possibilities of errors in this method are unreliable accumulation of urine, influencibility of the creatinine values by the muscular mass and various exogenic factors. The chromium-51-EDTA-clearance is to be regarded as a more exact method. After single intravenous injection of about 150 muCi Cr-51-EDTA (single-shot-method) the impulse rates in the serum are measured after 60, 100, 140 and 180 min in the bore-hole-crystal. Up to now the number of patients examined is about 300, additionally 6 persons who underwent binephrectomy. Elaboration of a computer programme for the calculation of the clearance values. The best approach is achieved by non-linear regression. There exists a reciprocal connection between serum creatinine and Cr-51-EDTA-clearance. Values lower than 90 ml/min must be regarded as pathological. The Cr-51-EDTA-clearance is particularly valuable in the so-called creatinine-blind region, in which it gives a more reliable information about the beginning reduction of the glomerular filtration rate, as calculation of the correlation and repeated examinations show. The method can be recommended for the clinical routine diagnostics.
在常规诊断中,大多数情况下肾小球滤过率是通过内生肌酐清除率来测定的。该方法存在的误差可能性包括尿液收集不可靠、肌酐值受肌肉量及各种外源性因素的影响。铬-51-乙二胺四乙酸清除率被认为是一种更精确的方法。单次静脉注射约150微居里的铬-51-乙二胺四乙酸(单次注射法)后,在钻孔晶体中于60、100、140和180分钟后测量血清中的脉冲率。到目前为止,接受检查的患者人数约为300人,另外还有6例接受了双侧肾切除术的患者。编制了一个用于计算清除率值的计算机程序。通过非线性回归可获得最佳方法。血清肌酐与铬-51-乙二胺四乙酸清除率之间存在反比关系。低于90毫升/分钟的值必须被视为病理性的。正如相关性计算和重复检查所示,铬-51-乙二胺四乙酸清除率在所谓的肌酐盲区特别有价值,在该区域它能提供关于肾小球滤过率开始下降的更可靠信息。该方法可推荐用于临床常规诊断。