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单次注射菊粉清除率——一种测量犬肾小球滤过率的简单方法。

Single-injection inulin clearance--a simple method for measuring glomerular filtration rate in dogs.

作者信息

Haller M, Müller W, Binder H, Estelberger W, Arnold P

机构信息

Department of Veterinary Internal Medicine, Small Animal Clinic, Radolfzell, Germany.

出版信息

Res Vet Sci. 1998 Mar-Apr;64(2):151-6. doi: 10.1016/s0034-5288(98)90011-x.

Abstract

The glomerular filtration rates (GFR) of 93 dogs of different breeds with a broad range of bodyweight were determined using an inulin single-injection method. Fifty-two dogs were used as controls, 21 dogs had suspected renal disease but serum creatinine in the normal range, and 20 dogs had elevated serum creatinine levels and a low urine specific gravity due to renal disease. Inulin was injected intravenously at a dosage of 100 mg kg(-1) bodyweight or 3000 mg m(-2) body surface. Blood samples were taken before and three, 20, 40, 80 and 120 minutes after injection. The total clearance was calculated from the decrease in the serum concentration of inulin using a two-compartment model. The range of GFR values was 83.5-144.3 ml min(-1) m(-2) in control dogs, 60.2-96.7 ml min(-1) m(-2) in dogs with suspected renal disease, 50.0-76.2 ml min(-1) m(-2) in dogs with suspected renal disease and polyuria/polydipsia, and 16.3-63.0 ml min(-1) m(-2) in dogs with azotaemic renal disease. The study indicates that single-injection inulin clearance is a cheap and simple tool for GFR measurements in small animal practice.

摘要

采用菊粉单次注射法测定了93只不同品种、体重范围广泛的犬的肾小球滤过率(GFR)。52只犬作为对照,21只犬疑似患有肾脏疾病但血清肌酐在正常范围内,20只犬因肾脏疾病血清肌酐水平升高且尿比重降低。以100 mg kg(-1)体重或3000 mg m(-2)体表面积的剂量静脉注射菊粉。在注射前以及注射后3、20、40、80和120分钟采集血样。使用二室模型根据菊粉血清浓度的下降计算总清除率。对照犬的GFR值范围为83.5 - 144.3 ml min(-1) m(-2),疑似患有肾脏疾病的犬为60.2 - 96.7 ml min(-1) m(-2),疑似患有肾脏疾病且有多尿/烦渴症状的犬为50.0 - 76.2 ml min(-1) m(-2),氮质血症性肾脏疾病的犬为16.3 - 63.0 ml min(-1) m(-2)。该研究表明,单次注射菊粉清除率是小动物临床中测量GFR的一种廉价且简单的方法。

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