在临床实践中如何测定肾功能
How to measure renal function in clinical practice
摘要
本文要点构成慢性肾脏病分期的基础是估计肾小球滤过率(eGFR)当 eGFR 在60～89ml/min/1.73m^2之间,但缺乏其他肾脏疾病证据时,并不代表有慢性肾脏疾病,也不需要进一步检查慢性肾病患者罹患心血管疾病的风险升高基于"4-vMDBD"公式的 eGFR 和血肌酐一样,已经成为生化实验室常规报告的指标(除了那些未经验证的患者人群)eGFR 或血肌酐水平可以用于监测患者个体肾功能的变化正规的 GFR 检测主要用于对潜在的肾移植供者的肾功能进行准确评价和研究放射性同位素或碘造影剂需要多份血标本,如果肾功能下降。
出处
《英国医学杂志中文版》
2007年第1期28-32,共5页
The BMJ Chinese Edition
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