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大鼠肾脏肾小球超滤的动力学:一项理论研究

Kinetics of the glomerular ultrafiltration in the rat kidney. A theoretical study.

作者信息

Källskog O, Lindbom L O, Ulfendahl H R, Wolgast M

出版信息

Acta Physiol Scand. 1975 Oct;95(2):191-200. doi: 10.1111/j.1748-1716.1975.tb10041.x.

Abstract

The glomerular filtration process was evaluated theoretically from micropuncture data obtained from Sprague-Dawley rats. The hydrostatic pressures in the glomerular capillaries and Bowman's space minus the oncotic pressure in systemic plasma gave the net driving force at the proximal end of the glomerular capillary. From the single nephron filtration fraction the mean net driving force over the glomerular membrane was calculated to be 20 mm Hg during normotension, decreasing to 12 mm Hg during a perfusion pressure of 80 mm Hg. The hydraulic permeability for one glomerulus was 0.7-0.8 nl/min-100 g b.wt. mmHg. The pressures at the distal end of the glomerular capillaries were 13 and 6 mm Hg under the above two conditions, indicating non-equilibrium of the filtration process at the end of the glomerular capillary. It was shown that the glomerular filtration rate is mainly influenced by the driving pressures. During hypotension an increased plasma flow dependency was evident. Brenner et al. found a filtration equilibrium and a plasma flow dependent glomerular filtration rate in a mutant Wistar rat strain. The discrepancy between their results and ours is due to the low glomerular plasma flow and hydrostatic pressures in the Wistar rats. It is concluded from our results that both pre- and postglomerular resistances may influence the glomerular filtration rate and glomerular plasma flow independently.

摘要

从斯普拉格-道利大鼠获得的微穿刺数据对肾小球滤过过程进行了理论评估。肾小球毛细血管和鲍曼囊内的静水压减去全身血浆中的胶体渗透压,得出肾小球毛细血管近端的净驱动力。根据单肾单位滤过分数计算,在正常血压时跨肾小球膜的平均净驱动力为20 mmHg,在80 mmHg灌注压时降至12 mmHg。单个肾小球的水力传导率为0.7 - 0.8 nl/min - 100 g体重·mmHg。在上述两种情况下,肾小球毛细血管远端的压力分别为13 mmHg和6 mmHg,表明在肾小球毛细血管末端滤过过程不均衡。结果表明,肾小球滤过率主要受驱动压力的影响。在低血压期间,血浆流量依赖性增加明显。布伦纳等人在一种突变的Wistar大鼠品系中发现了滤过平衡和血浆流量依赖性肾小球滤过率。他们的结果与我们的结果之间的差异是由于Wistar大鼠的肾小球血浆流量和静水压较低。从我们的结果可以得出结论,肾小球前和肾小球后阻力可能分别独立影响肾小球滤过率和肾小球血浆流量。

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