Zatevakhin I I, Kiandarian A K, Isawv M R
Vestn Khir Im I I Grek. 1977 Feb;118(2):61-5.
The kidney function was studied in postischemia period in 80 patients with acute arterial occlusion,using the methods of radioisotope renography and effective renal blood flow. For the purpose of prophylaxis agains renal complications in addition to regional perfusion and venesection the method of regional inhibition of toxic products in the ischemia focus is suggested. In increased myoglobinuiea the stimulation of diuresis, alkalization of the organism would be a necessity. Renal complications were observed in 13 of 80 patients (16.25%). In 6 patients myoglobinuric tubular nephrosis was noted with lethal issues; in the remaining 7 patients due to early establishment of the diagnosis and intensive therapy myoglobinuria showed an abortive character.
采用放射性同位素肾图和有效肾血流量测定方法，对80例急性动脉闭塞患者缺血后时期的肾功能进行了研究。为预防肾脏并发症，除区域灌注和放血外，建议采用局部抑制缺血灶中毒性产物的方法。在肌红蛋白尿增加的情况下，刺激利尿、使机体碱化是必要的。80例患者中有13例（16.25%）出现肾脏并发症。6例患者出现肌红蛋白尿性肾小管肾病并导致死亡；其余7例患者由于早期诊断和强化治疗，肌红蛋白尿呈顿挫型。
