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[犬回肠对尿液成分的吸收]

[Absorption of the urinary constituents from canine ileum].

作者信息

Okada Y, Fukuzaki A, Orikasa S

机构信息

Department of Urology, Tohoku University School of Medicine.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1991 Mar;82(3):439-46. doi: 10.5980/jpnjurol1989.82.439.

Abstract

To clarify the mechanism of metabolic changes after using intestinal segments as a urinary tract, absorption of urinary constituents from the ileum was studied in dogs. An isolated distal ileum (30 cm in length) was anastomosed to the urinary bladder in each dog. Although these animals maintained the normal renal function throughout the experimental period, mild acidosis was noticed one month after anastomosis and it became severe after six months. Stagnation of a urine-like solution (artificial urine: AU) in the isolated ileum resulted in an absorption of 66% of the instilled solvent on average during 60 minutes. The average absorption rates of each AU constituent were as follows: sodium 63%, potassium 80%, chloride 83%, phosphorus 68%, magnesium 34%, urea nitrogen 93% creatinine 56%, and ammonia 97%. On the contrary, calcium increased in the stagnated fluid by 21%. In spite of the severe histologic changes in the villi of the ileal mucosa, which became atrophic and flat, no deterioration in the absorptive capacity of the AU constituents was noticed during the six month experimental period. Furosemide administration suppressed the absorption of urinary constituents, especially water and sodium. On the other hand, the absorption of urea nitrogen and ammonia was scarcely affected. Perfusion of the isolated ileum with AU (0.5 ml/min) for 60 minutes resulted in an absorption of 59% of the solvent and 50 to 86% of each constituent. The rate of absorption was reduced after increment of the perfusion rate. In conclusion, the absorption of urinary constituents occurs rapidly and significantly. The absorptive capacity remains longer regardless the severity of histological changes of the ileal mucosa.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为阐明将肠段用作泌尿道后代谢变化的机制,在犬类中研究了回肠对尿液成分的吸收情况。每只犬的一段孤立的远端回肠(长30厘米)与膀胱进行吻合。尽管这些动物在整个实验期间维持正常肾功能,但吻合术后一个月出现轻度酸中毒,六个月后变得严重。孤立回肠中类似尿液的溶液(人工尿液:AU)停滞导致在60分钟内平均吸收了66%的注入溶剂。每种AU成分的平均吸收率如下:钠63%、钾80%、氯83%、磷68%、镁34%、尿素氮93%、肌酐56%、氨97%。相反,停滞液体中的钙增加了21%。尽管回肠黏膜绒毛出现严重组织学变化,变得萎缩扁平,但在六个月的实验期内未发现AU成分吸收能力下降。给予呋塞米抑制了尿液成分的吸收,尤其是水和钠。另一方面,尿素氮和氨的吸收几乎未受影响。以0.5毫升/分钟的速度向孤立回肠灌注AU 60分钟导致吸收59%的溶剂和50%至86%的每种成分。灌注速度增加后吸收速率降低。总之,尿液成分的吸收迅速且显著。无论回肠黏膜组织学变化的严重程度如何,吸收能力保持较长时间。(摘要截短于250字)

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