Gueutin Victor, Deray Gilbert, Isnard-Bagnis Corinne
CHU Pitié-Salpétrière, service de néphrologie, Paris, France.
Bull Cancer. 2012 Mar 1;99(3):237-49. doi: 10.1684/bdc.2011.1482.
The kidneys are responsible for the urinary excretion of uremic toxins and the regulation of several body systems such as intra and extracellular volume status, acid-base status, calcium and phosphate metabolism or erythropoiesis. They adapt quantitative and qualitative composition of the urine to keep these systems in balance. The flow of plasma is filtered in the range of 120 mL/min, and depends on the systemic and renal hemodynamics which is subject to self-regulation. The original urine will then be modified in successive segments of the nephron. The proximal nephron is to lead the massive reabsorption of water and essential elements such as sodium, bicarbonates, amino-acids and glucose. The distal nephron includes the distal convoluted tubule, the connector tube and the collecting duct. Its role is to adapt the quality composition of urine to the needs of the body.
肾脏负责尿毒症毒素的尿液排泄以及多个身体系统的调节,如细胞内和细胞外液量状态、酸碱状态、钙和磷代谢或红细胞生成。它们调节尿液的定量和定性组成以维持这些系统的平衡。血浆流量在120毫升/分钟的范围内被过滤,这取决于受自身调节的全身和肾脏血流动力学。原始尿液随后会在肾单位的连续节段中被改变。近端肾单位主要负责大量重吸收水和钠、碳酸氢盐、氨基酸及葡萄糖等必需元素。远端肾单位包括远曲小管、连接小管和集合管。其作用是使尿液的质量组成适应身体的需求。