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[慢性静脉血液流出障碍时的肾血管状况]

[Condition of the kidney vascularity in chronic disorder of venous blood outflow].

作者信息

Novikov Iu V, Shormanov S V, Shormanov I S

出版信息

Urologiia. 2006 Sep-Oct(5):84-7.

Abstract

To estimate structural changes in the kidneys exposed to chronic venous congestion, a 65-75% stricture was made in the pulmonary trunk of 24 pups. Twelve dogs were controls. The animals were followed up from 6 months to 2 years. Venous pressure was measured, the kidneys were studied histologically, stereometrically and morphometrically. There was hypertension in the posterior vena cava reflecting chronic defects in the venous blood outflow from the kidneys. The capacity of the venous and arterial renal circulation was increased and reduced, respectively. There was some reduction of the glomerular system. Muscular hypertrophy of the walls of renal veins and arteries was adaptive. Pathological alterations in the kidneys were represented by sclerosis of the walls of the renal veins, connective tissue thickening of arterial intima, sclerosis and hyalinosis of arterioles and glomeruli, dystrophy of canalicular epithelium, renal parenchyma atrophy, renal stroma growth.

摘要

为评估暴露于慢性静脉淤血的肾脏的结构变化,对24只幼崽的肺动脉进行了65 - 75%的狭窄处理。12只犬作为对照。对动物进行了6个月至2年的随访。测量静脉压,对肾脏进行组织学、立体测量学和形态测量学研究。后腔静脉存在高血压,反映出肾脏静脉血流出存在慢性缺陷。肾静脉和动脉循环容量分别增加和减少。肾小球系统有一定程度的减少。肾静脉和动脉壁的肌肉肥大具有适应性。肾脏的病理改变表现为肾静脉壁硬化、动脉内膜结缔组织增厚、小动脉和肾小球硬化及玻璃样变性、小管上皮营养不良、肾实质萎缩、肾间质增生。

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