Dach J L, Kurtzman N A
Lab Invest. 1976 Apr;34(4):406-14.
Previous studies have implicated both intrarenal vasconstriction and reduced glomerular permeability in the pathogenesis of acute renal failure. Studies were performed to examine further the role of vasconstriction and glomerular structural abnormalities in this syndrome. Six rats (group I) given angiotensin II (180 ng. per 100 gm. per minute) did not develop acute renal failure (blood urea nitrogen 28.6 mg. per 100 ml. at 24 hours). Twenty-five rats (group II), allowed free access to water and given glycerol intramuscularly (8 ml. per kg.), developed mild acute renal failure (blood urea nitrogen 41.6 mg. per 100 ml. at 24 hours). Ten nondehydrated rats (group III), given both glycerol and angiotensin II, developed a more severe form of acute renal failure (blood urea nitrogen 120.4 mg. per 100 ml. at 24 hours p less than 0.001); this value was not significantly different from that of 14 rats (group IV) dehydrated 24 hours prior to glycerol administration (blood urea nitrogen 137 mg. per 100 ml. at 24 hours).
以往的研究表明,肾内血管收缩和肾小球通透性降低在急性肾衰竭的发病机制中均起作用。本研究旨在进一步探讨血管收缩和肾小球结构异常在该综合征中的作用。给6只大鼠(I组)输注血管紧张素II(每分钟180 ng/100 g),未发生急性肾衰竭(24小时时血尿素氮为28.6 mg/100 ml)。25只大鼠(II组)自由饮水并肌肉注射甘油(8 ml/kg),发生轻度急性肾衰竭(24小时时血尿素氮为41.6 mg/100 ml)。10只未脱水的大鼠(III组)同时给予甘油和血管紧张素II,发生更严重的急性肾衰竭(24小时时血尿素氮为120.4 mg/100 ml,P<0.001);该值与14只在给予甘油前24小时脱水的大鼠(IV组)(24小时时血尿素氮为137 mg/100 ml)无显著差异。