分腎機能研究 : 腎血管性高血圧症診断に用いる各種分腎機能検査法の比較検討

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In order to re-assess various split renal function tests designed for diagnosing renovascular hypertension, a comparative study was undertaken on 33 renovascular hypertensives, 5 renoparenchymal hypertensives and 15 patients with unilateral renal disorders. Split renal function tests were performed by a urologist as follows; under oral hydration and saddle block anesthesia, each pelvic urine was collected anaerobically through the Fr. 5 or 6 thin-walled polyethylene catheters with multiple side holes. A blood sample was withdrawn at the midst of the tests. Urinary volume per minute, Na, K, Cl, UN, Cr, and uric acid concentrations and intra-pelvic urine oxygen tession were measured. Renal vein renin ratio was determined by 2 methods, namely sequential catheterization of each renal veins by a single catheter and simultaneous sampling of each venous blood by two catheters under furosemide Stimulation. 9 tests, namely the Howard 1953 method, the Howard 1962 method, the Rapoport method, the Birchall method, the Takayasu and Ogawa method, the Madeloff method, the Fournier method, the Suzuki method and the urinary oxygen tesnion ratio coupled with sodium reabsorption ratio method were performed together with determination of renal vein renin ratio.
社団法人日本泌尿器科学会の論文