FRACTIONAL EXCRETION OF UREA AS A GUIDE TO RENAL DYSFUNCTION

被引:50
作者
KAPLAN, AA
KOHN, OF
机构
[1] Division of Nephrology, Department of Medicine, University of Connecticut School of Medicine, Farmington, CT
关键词
UREA; PRERENAL AZOTEMIA; ACUTE RENAL FAILURE; FRACTIONAL EXCRETION OF UREA; FRACTIONAL EXCRETION OF SODIUM; RENAL PERFUSION; CONGESTIVE HEART FAILURE; ANGIOTENSIN CONVERTING ENZYME INHIBITION;
D O I
10.1159/000168417
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The use of fractional excretion of sodium as a guide to renal perfusion is hampered by the prior use of natriuretic agents. The fractional excretion of urea (FEUr) has been shown to be affected by volume status. We, therefore, determined the value of the FEUr as a guide to renal perfusion. In 6 patients evaluated prospectively and in 87 patients evaluated retrospectively, a low FEUr (less-than-or-equal-to 35%) was found to be a sensitive index to renal perfusion, despite the prior administration of furosemide.
引用
收藏
页码:49 / 54
页数:6
相关论文
共 23 条
[1]   TRANSTUBULAR MOVEMENT OF UREA AT DIFFERENT DEGREES OF WATER DIURESIS [J].
ARMSEN, T ;
REINHARDT, HW .
PFLUGERS ARCHIV-EUROPEAN JOURNAL OF PHYSIOLOGY, 1971, 326 (03) :270-+
[2]   The excretion of urea in normal man and in subjects with glomerulonephritis [J].
Chasis, H ;
Smith, HW .
JOURNAL OF CLINICAL INVESTIGATION, 1938, 17 (03) :347-358
[3]   NATRIURESIS AND ATRIAL NATRIURETIC FACTOR SECRETION DURING INAPPROPRIATE ANTIDIURESIS [J].
COGAN, E ;
DEBIEVE, MF ;
PEPERSACK, T ;
ABRAMOW, M .
AMERICAN JOURNAL OF MEDICINE, 1988, 84 (03) :409-418
[4]  
COGAN MG, 1990, SEMIN NEPHROL, V10, P115
[5]   RENAL HANDLING OF UREA IN SUBJECTS WITH PERSISTENT AZOTEMIA AND NORMAL RENAL-FUNCTION [J].
CONTE, G ;
DALCANTON, A ;
TERRIBILE, M ;
CIANCIARUSO, B ;
DIMINNO, G ;
PANNAIN, M ;
RUSSO, D ;
ANDREUCCI, VE .
KIDNEY INTERNATIONAL, 1987, 32 (05) :721-727
[6]  
DALCANTON A, 1985, CLIN SCI, V68, P255
[7]   FENA TEST - USE IN DIFFERENTIAL-DIAGNOSIS OF ACUTE RENAL-FAILURE [J].
ESPINEL, CH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1976, 236 (06) :579-581
[8]   EFFECT OF URINE FLOW RATE ON UREA REABSORPTION IN MAN - UREA AS A TUBULAR MARKER [J].
GOLDSTEIN, MH ;
LENZ, PR ;
LEVITT, MF .
JOURNAL OF APPLIED PHYSIOLOGY, 1969, 26 (05) :594-+
[9]   ANGIOTENSIN ACTIONS IN THE KIDNEY - RENEWED INSIGHT INTO THE OLD HORMONE [J].
ICHIKAWA, I ;
HARRIS, RC .
KIDNEY INTERNATIONAL, 1991, 40 (04) :583-596
[10]   ROLE OF ANGIOTENSIN-II IN THE ALTERED RENAL-FUNCTION OF CONGESTIVE HEART-FAILURE [J].
ICHIKAWA, I ;
PFEFFER, JM ;
PFEFFER, MA ;
HOSTETTER, TH ;
BRENNER, BM .
CIRCULATION RESEARCH, 1984, 55 (05) :669-675