Gottschalk C W
Dept. of Medicine, Univ. of North Carolina, Chapel Hill.
Bull Mem Acad R Med Belg. 1992;147(3-5):162-9.
An understanding of the fundamental mechanisms of kidney function awaited the advent of micropuncture techniques. The initial micropuncture study by Wearn and Richards in 1924 presented the first direct evidence that the initial step in urine formation was the process of ultrafiltration at the glomerulus and that certain solutes were reabsorbed in the renal tubules. Subsequent micropuncture studies and the development by Burg and colleagues for in vitro perfusion of surviving tubular segments have provided an enormous amount of information about glomerular function and the transport characteristics of all nephron segments in the normal and diseased kidney.
对肾功能基本机制的理解等待着微穿刺技术的出现。1924年,Wearn和Richards进行的首次微穿刺研究提供了首个直接证据,表明尿液形成的初始步骤是肾小球处的超滤过程,并且某些溶质在肾小管中被重吸收。随后的微穿刺研究以及Burg及其同事开发的用于体外灌注存活肾小管节段的技术,为正常和患病肾脏中的肾小球功能以及所有肾单位节段的转运特性提供了大量信息。