Gullichsen E, Nelimarkka O, Kirvelä O, Heinonen O, Niinikoski J
Department of Surgery, University of Turku, Finland.
Scand J Urol Nephrol. 1990;24(4):261-5.
Circulatory changes and renal uptake of free fatty acids (FFA), glycerol and triglycerides were studied in ten adult beagle dogs during pentobarbital anesthesia. Six dogs were injected intravenously with E. coli endotoxin 0.5 mg/kg over 15 min and four control dogs received saline. Cardiac depression, hypotension, renal hypoperfusion and acidosis resulted in endotoxin shock. Arterial FFA concentrations increased significantly 2 hours after onset of shock whereas renal venous FFA levels remained rather stationary during the 5-hour study. Arterial and renal venous glycerol levels increased during the first two hours and decreased thereafter. Unchanged triglyceride levels were observed in endotoxin shock. The renal uptake of FFA increased with increasing arterial FFA concentrations. Net renal uptake of glycerol and triglycerides were observed as well. Blood concentrations and renal uptake of fats and glycerol remained relatively stationary in the control animals through the observation period. These data suggest renal ability to consume FFA, glycerol and triglycerides during endotoxin shock.
在戊巴比妥麻醉期间,对10只成年比格犬的循环变化以及游离脂肪酸(FFA)、甘油和甘油三酯的肾脏摄取情况进行了研究。6只犬在15分钟内静脉注射0.5mg/kg大肠杆菌内毒素,4只对照犬接受生理盐水注射。内毒素休克导致心脏抑制、低血压、肾脏灌注不足和酸中毒。休克发作2小时后,动脉FFA浓度显著升高,而在5小时的研究期间,肾静脉FFA水平保持相对稳定。动脉和肾静脉甘油水平在前两小时升高,此后下降。在内毒素休克中观察到甘油三酯水平不变。FFA的肾脏摄取随着动脉FFA浓度的增加而增加。也观察到了甘油和甘油三酯的净肾脏摄取。在观察期内,对照动物的血液中脂肪和甘油的浓度以及肾脏摄取保持相对稳定。这些数据表明,在内毒素休克期间,肾脏有消耗FFA、甘油和甘油三酯的能力。