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Tubular Toxicity Is the Main Renal Effect of Contrast Media

 

作者: DonadioCarlo,   TramontiGianfranco,   LucchesiAnnalisa,   GiordaniRoberto,   LucchettiAmalia,   BianchiClaudio,  

 

期刊: Renal Failure  (Taylor Available online 1996)
卷期: Volume 18, issue 4  

页码: 647-656

 

ISSN:0886-022X

 

年代: 1996

 

DOI:10.3109/08860229609047690

 

出版商: Taylor&Francis

 

关键词: Nephrotoxicity;Contrast media;Glomerular function;Tubular function;Urinary enzymes;Alanine aminopeptidase;γ-Glutamyltransferase;Alkaline phosphatase;Lactate dehydrogenase;AT-Acetyl-β-D-glucosaminidase;Lysozyme;Glomerular filtration rate

 

数据来源: Taylor

 

摘要:

The aim of this study is to evaluate the effects of contrast media on both tubular and glomerular function. Different parameters of tubular and glomerular function were determined before and at 1, 3, and 5 days after the intravascular administration of contrast media in 100 adult renal patients (plasma creatinine 0.6-10.8 mg/dL, mean: 1.3). Urinary activities of five tubular enzymes (alanine aminopeptidase,γ-glutamyltransferase, alkaline phosphatase, lactate dehydrogenase, N-acetyl-β-D-glucosaminidase) increased significantly on the first day after the administration of contrast media, indicating a tubular damage. Glomerular filtration rate and the conventional tests of glomerular function (plasma creatinine, creatinine clearance, and urinary proteins) presented only slight variations after the administration of contrast media. In conclusion, contrast media principally affected the renal tubule (as demonstrated by enzymuria), while their effects on glomerular function were very mild.

 

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