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大鼠肾上腺切除所致急性肾缺血的机制。

The mechanism of acute renal ischaemia caused by adrenalectomy in the rat.

作者信息

Peart W S, Pessina A C

出版信息

J Physiol. 1975 Aug;250(1):23-37. doi: 10.1113/jphysiol.1975.sp011041.

DOI:10.1113/jphysiol.1975.sp011041
PMID:1177121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1348337/
Abstract
  1. The acute reduction of renal blood flow following adrenalectomy in the rat, which had previously been shown to be associated with sequestration of blood volume in the splanchnic area, was further investigated. An attempt was made to define the role of the renal sympathetic nerves in causing the blood flow change. 2. The systemic and renal intra-arterial administration of phenoxybenzamine, isoprenaline and propranolol and denervation of the renal pedicle failed to re-establish normal renal function. 3. Infusion of P113 (sarcosyl1 alanine8), an angiotensin blocker, failed to improve renal function. 4. In contrast, volume replacement with high-molecular weight PVP caused a prompt increase of RPF and GFR without altering arterial pressure and central venous pressure. 5. Angiographic studies demonstrated that the calibre of the aorta of adrenalectomized rats was significantly smaller than that of the sham operated and increased after the administration of this plasma volume expander. 6. It was concluded that after adrenalectomy the major arteries readjusted their calibre to the reduced volume of blood in the arterial tree with maintenance of a constant pressure/volume relationship. Their contracted state in the case of the kidney then led to flow reduction.
摘要
  1. 此前已表明,大鼠肾上腺切除术后肾血流量急剧减少与内脏区域血容量潴留有关,对此进行了进一步研究。试图确定肾交感神经在引起血流变化中的作用。2. 经动脉系统和肾内给予苯氧苄胺、异丙肾上腺素和普萘洛尔以及肾蒂去神经支配均未能恢复正常肾功能。3. 输注血管紧张素阻滞剂P113(肌氨酰 - 丙氨酸8)未能改善肾功能。4. 相反,用高分子量聚乙烯吡咯烷酮补充血容量可使肾血浆流量和肾小球滤过率迅速增加,而不改变动脉压和中心静脉压。5. 血管造影研究表明,肾上腺切除大鼠的主动脉管径明显小于假手术大鼠,给予这种血浆容量扩充剂后主动脉管径增大。6. 得出的结论是,肾上腺切除术后,主要动脉将其管径调整至与动脉树中减少的血量相适应,以维持恒定的压力/容量关系。肾脏动脉的收缩状态进而导致血流减少。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b076/1348337/23bf9508c971/jphysiol00886-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b076/1348337/a8a590038ba9/jphysiol00886-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b076/1348337/23bf9508c971/jphysiol00886-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b076/1348337/a8a590038ba9/jphysiol00886-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b076/1348337/23bf9508c971/jphysiol00886-0059-a.jpg

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引用本文的文献

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Regulation by adrenal corticosteroids of sodium and potassium transport in loop of Henle and distal tubule of rat kidney.肾上腺皮质类固醇对大鼠肾脏髓袢和远曲小管中钠钾转运的调节作用。
J Clin Invest. 1986 Dec;78(6):1612-20. doi: 10.1172/JCI112754.
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Effect of adrenalectomy on medullary collecting-duct function in rats before and during blood volume expansion.

本文引用的文献

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Influence of graded arterial pressure decrement on renal clearance of creatinine, p-aminohippurate and sodium.分级动脉压降低对肌酐、对氨基马尿酸和钠肾清除率的影响。
Am J Physiol. 1949 Nov;159(2):369-78. doi: 10.1152/ajplegacy.1949.159.2.369.
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Changes in renal blood flow, extraction of inulin, glomerular filtration rate, tissue pressure and urine flow with acute alterations of renal artery blood pressure.肾血流量、菊粉清除率、肾小球滤过率、组织压力及尿流量随肾动脉血压急性改变的变化情况。
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Urinary excretion of sodium and chloride after splanchnicotomy; effect on the proximal tubule.
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Unilateral renal adrenergic blockade and the renal response to vasopressor agents and to hemorrhage.单侧肾肾上腺素能阻断与肾脏对血管升压药及出血的反应。
J Pharmacol Exp Ther. 1954 Sep;112(1):1-7.
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Comparison of the effects of dopamine, isoproterenol, norepinephrine and bradykinin on canine renal and femoral blood flow.多巴胺、异丙肾上腺素、去甲肾上腺素和缓激肽对犬肾血流和股血流影响的比较。
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Evaluation of pharmacologically induced renal vasodilatation.药理学诱导的肾血管舒张评估。
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10
Regional adrenergic blockade by intra-arterial injection of phenoxybenzamine.通过动脉内注射酚苄明进行区域肾上腺素能阻滞。
Surg Gynecol Obstet. 1968 Aug;127(2):319-26.