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[在恒定肾灌注压下刺激颈动脉化学感受器时神经支配肾脏的功能]

[The function of innervated kidneys during stimulation of the carotid chemoreceptors under constant renal perfusion pressure].

作者信息

Honig A, Flemming B, Rauhut U, Roloff D, Böge R, Matthiess P, Walther J

出版信息

Acta Biol Med Ger. 1975;34(6):1025-36.

PMID:1199618
Abstract

The carotid chemoreceptors of narcotized, vagotomized and spontaneously breathing hydropenic cats in hypertonic mannite diuresis were stimulated by perfusion with venous blood penic cats in hypertonic mannite diuresis were stimulated by perfusion with venous blood for 70 min. Elevation of blood pressure at the innervated kidneys was prevented by an automatically controlled balloon located within the aorta. Stimulation of the chemoreceptors intensified respiration and raised the arterial systemic pressure. With the renal arteries at constant pressure, the effective renal plasma flow and the glomerular filtration rate significantly declined. The filtration fraction remained unchanged. The absolute urinary and sodium excretion did not change significantly, whereas the fractional time-volume, fractional sodium excretion, and the fractional osmotic excretion significantly increased. The fractional tubular reabsorption of osmotically free water was significantly enhanced. These reactions subsided during subsequent perfusion of the glomerula carotici with arterial blood. The results suggest that tubular sodium reabsorption is inhibited by stimulation of the carotid chemoreceptors, although re-adjustment of renal perfusion and filtrate volume cannot be excluded.

摘要

在高渗甘露醇利尿状态下,对麻醉、切断迷走神经且自主呼吸的缺水猫的颈动脉化学感受器,通过灌注静脉血70分钟进行刺激。位于主动脉内的自动控制气囊可防止受神经支配肾脏的血压升高。化学感受器的刺激增强了呼吸并升高了动脉系统血压。在肾动脉压力恒定的情况下,有效肾血浆流量和肾小球滤过率显著下降。滤过分数保持不变。尿钠绝对排泄量无明显变化,而分时尿量、分钠排泄量和分渗透排泄量显著增加。渗透自由水的肾小管重吸收分数显著增强。在随后用动脉血灌注颈动脉球时,这些反应消退。结果表明,颈动脉化学感受器的刺激会抑制肾小管钠重吸收,尽管不能排除肾灌注和滤液量的重新调整。

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