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手术创伤后家兔的肾血流与功能。I. 一项实验研究。

Renal bloodflow and function in the rabbit after surgical trauma. I. An experimental study.

作者信息

Lyrdal F, Olin T

出版信息

Scand J Urol Nephrol. 1975;9(2):129-41. doi: 10.3109/00365597509180920.

Abstract

The aim of the present study was to examine the influence of surgical trauma on renal blood flow (RBF) and renal funciotn. The renal vessels were catheterized in lightly anaesthetized rabbits and the dye-dilution technique was used to measure renal blood flow and cardiac output. The renal fraction of the cardiac output (RBF % CO), the total peripherauation of the glomerular and tubular function was made by measuring the extraction of EDTA and of Hippuran. A decrease in the cardiac output was accompanied by a diminution of renal blood flow. Renal blood flow was reduced, regardless of whether surgery or puncture of the kidney was performed, probably due to vasoconstriction in the kidney caused by an increase in sympathetic tonus or in the concentration of plasma catecholamines. Manipulation of the renal artery seemed to stimulate further vasoconstriction in the ipsilateral kidney by a direct effect. The glomerular and tubular function decreased initially, independently of surgical trauma, and it is therefore assumed that the initial renal vasoconstriction includes the afferent arterioles. Renal function was not greatly influenced by handling of the renal artery.

摘要

本研究的目的是探讨手术创伤对肾血流量(RBF)和肾功能的影响。在轻度麻醉的家兔身上对肾血管进行插管,并采用染料稀释技术测量肾血流量和心输出量。通过测量EDTA和马尿酸的摄取量来测定心输出量的肾部分(RBF%CO)以及肾小球和肾小管功能的总外周指标。心输出量的降低伴随着肾血流量的减少。无论进行手术还是肾脏穿刺,肾血流量都会减少,这可能是由于交感神经张力增加或血浆儿茶酚胺浓度升高导致肾脏血管收缩所致。对肾动脉的操作似乎通过直接作用进一步刺激同侧肾脏的血管收缩。肾小球和肾小管功能最初下降,与手术创伤无关,因此推测最初的肾血管收缩包括入球小动脉。肾功能受肾动脉处理的影响不大。

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