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通气对单侧肾去神经支配麻醉犬钠排泄的影响。

Effect of ventilation on sodium excretion in the anesthetized dog with unilateral renal denervation.

作者信息

Szénási G, Bencsáth P, Takács L

机构信息

Joint Research Organisation, Hungarian Academy of Sciences, Budapest.

出版信息

Acta Physiol Hung. 1990;75(2):147-54.

PMID:2339613
Abstract

We studied if the effect of mechanical ventilation induced to keep arterial blood gas values within normal physiological limits has any influence on renal sodium excretion in anesthetized dogs (n = 17) subjected to acute unilateral renal denervation. Compared to the control and the postcontrol periods, ventilation elevated arterial pO2 from 86 +/- 5 to 96 +/- 5 mmHg and blood pH from 7.37 +/- 0.02 to 7.41 +/- 0.01 while arterial pCO2 was decreased from 38 +/- 2 to 33 +/- 1 mmHg (p less than 0.05 in all cases). Compared to the innervated kidney urine flow, urinary sodium and potassium excretion from the denervated kidney were markedly elevated both during spontaneous respiration and during mechanical ventilation but GFR and cPAH were similar on the two sides. Ventilation decreased sodium excretion by the denervated kidney from 314 +/- 26 to 252 +/- 31 mumols/min/100 g k. w. (p less than 0.05). No other excretory changes were noted either in the innervated or in the denervated kidneys. Difference in sodium excretion between innervated and denervated kidneys was decreased from 209 +/- 19 to 126 +/- 20 mumole/min/100 g k. w. (p less than 0.001), due to the ventilation induced diminution of sodium excretion from the denervated kidney. It is concluded that mechanical ventilation of anesthetized dogs modifies sodium excretion, and this phenomenon can be demonstrated only in the denervated kidney.

摘要

我们研究了在接受急性单侧肾去神经支配的麻醉犬(n = 17)中,为使动脉血气值维持在正常生理范围内而进行的机械通气对肾钠排泄是否有影响。与对照期和对照后期相比,通气使动脉血氧分压从86±5 mmHg升高至96±5 mmHg,血液pH值从7.37±0.02升高至7.41±0.01,而动脉血二氧化碳分压从38±2 mmHg降至33±1 mmHg(所有情况p均小于0.05)。与有神经支配的肾脏的尿流相比,在自主呼吸和机械通气期间,去神经支配肾脏的尿钠和尿钾排泄均显著升高,但两侧的肾小球滤过率(GFR)和对氨基马尿酸清除率(cPAH)相似。通气使去神经支配肾脏的钠排泄从314±26 μmol/min/100 g肾重量降至252±31 μmol/min/100 g肾重量(p小于0.05)。在有神经支配或去神经支配的肾脏中均未观察到其他排泄变化。由于通气导致去神经支配肾脏的钠排泄减少,有神经支配和去神经支配肾脏之间的钠排泄差异从209±19 μmol/min/100 g肾重量降至126±20 μmol/min/100 g肾重量(p小于0.001)。得出结论:麻醉犬的机械通气可改变钠排泄,且这种现象仅在去神经支配的肾脏中得以证实。

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