Suppr超能文献

在肾动脉灌注压降低期间,使用热脉冲衰减系统评估鸟类肾血流量。

Use of a thermal pulse decay system to assess avian renal blood flow during reduced renal arterial perfusion pressure.

作者信息

Wideman R F, Glahn R P, Bottje W G, Holmes K R

机构信息

Department of Poultry Science, Pennsylvania State University, University Park 16802.

出版信息

Am J Physiol. 1992 Jan;262(1 Pt 2):R90-8. doi: 10.1152/ajpregu.1992.262.1.R90.

Abstract

Using a simplified avian kidney model, renal arterial perfusion pressure (RAPP) was reduced from 120 (control) to 70 mmHg (near the glomerular filtration rate autoregulatory limit) and then to 46 mmHg (below the glomerular filtration rate autoregulatory range) in kidneys with ambient or partially restricted renal portal flow. Renal blood flow (RBF) was measured with a thermal pulse decay (TPD) system, using TPD thermistor probes inserted at three locations to evaluate regional differences in RBF. The clearance (CPAH) and extraction of p-aminohippuric acid were used to calculate renal plasma flow (RPF). CPAH, RPF, and RBF values were consistently lower for kidneys with restricted portal flow than for kidneys with ambient portal flow. Reducing RAPP to 46 mmHg did not significantly reduce CPAH, RPF, or RBF in the ambient group but did significantly reduce CPAH and RPF (regressed on RAPP) in the restricted group. RBF was not significantly affected when RAPP was reduced in the restricted group, although significant regional differences in blood flow were recorded. Renal vascular resistance decreased significantly as RAPP was reduced to 46 mmHg in the ambient group, confirming the renal autoregulatory response. In separate validation studies, significant reductions in RBF were detected by the TPD system during acute obstructions of portal and/or arterial flow. Overall, the results support previous evidence that avian RBF remains constant over a wide range of RAPPs. Observations of nonuniform intrarenal distributions of portal blood flow suggest that the portal system maintains the constancy of RBF in regions with proportionately high portal-to-arterial flow ratios.

摘要

使用简化的禽类肾脏模型,在肾门血流正常或部分受限的肾脏中,肾动脉灌注压(RAPP)从120(对照)降至70 mmHg(接近肾小球滤过率自动调节极限),然后降至46 mmHg(低于肾小球滤过率自动调节范围)。使用热脉冲衰减(TPD)系统测量肾血流量(RBF),通过插入三个位置的TPD热敏电阻探头评估RBF的区域差异。对氨基马尿酸的清除率(CPAH)和提取率用于计算肾血浆流量(RPF)。肾门血流受限的肾脏的CPAH、RPF和RBF值始终低于肾门血流正常的肾脏。将RAPP降至46 mmHg对正常组的CPAH、RPF或RBF没有显著降低,但对受限组的CPAH和RPF(根据RAPP进行回归分析)有显著降低。在受限组中降低RAPP时,RBF没有受到显著影响,尽管记录到了显著的血流区域差异。在正常组中,当RAPP降至46 mmHg时,肾血管阻力显著降低,证实了肾脏的自动调节反应。在单独的验证研究中,TPD系统在门静脉和/或动脉血流急性阻塞期间检测到RBF显著降低。总体而言,结果支持先前的证据,即禽类RBF在广泛的RAPP范围内保持恒定。对肾内门静脉血流分布不均匀的观察表明,门静脉系统在门静脉与动脉血流比例相对较高的区域维持RBF的恒定。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验