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[淋巴引流障碍时肾脏的形态功能重组]

[Morphofunctional reorganization of the kidneys in lymphatic outflow disturbance].

作者信息

Umbetov T Zh

出版信息

Arkh Anat Gistol Embriol. 1989 Jun;96(6):72-8.

PMID:2803020
Abstract

In 115 Wistar male rats structures and rates of tissue blood flow have been studied in the cortical and medullary renal substance histologically, polarographically (estimation of the volumetric tissue blood flow by hydrogen clearance). Systemic arterial (peritoneal aorta), venous (caudal vena cava) and lymphatic (renal lymph nodes) pressures have been measured, normal and after ligation of the thoracic duct at early (1-3 days), middle (1 month) and late (2-3 months) periods. In 1-3 days edema and dystrophy of the renal parenchyma, decrease of the blood flow rate in the cortical and its increase in the renal medullary substance, as well as a sharp elevation of pressure in the lymph nodes are observed. In 1 month of the experiment together with dystrophy and edema moderate sclerosis, decreasing blood flow rate in the cortical and medullary substance are noted. Increase of the systemic arterial and venous pressure and decreasing pressure in the lymph nodes, as well as a sharp increase of the renal nodes mass are revealed. In 2-3 months of the experiment, together with sclerosis of the renal parenchyma, elevated blood flow rate is observed in the kidneys and decreasing pressure in the lymph nodes up to its initial value takes place.

摘要

在115只雄性Wistar大鼠中,通过组织学、极谱法(通过氢清除率估算组织血流量)研究了肾皮质和髓质组织的结构及血流量速率。测量了全身动脉(腹主动脉)、静脉(尾静脉)和淋巴(肾淋巴结)压力,分别在早期(1 - 3天)、中期(1个月)和晚期(2 - 3个月)结扎胸导管前后进行测量。在1 - 3天观察到肾实质水肿和营养不良,肾皮质血流量速率降低而肾髓质血流量速率增加,以及淋巴结压力急剧升高。在实验1个月时,除了营养不良和水肿外,还出现中度硬化,肾皮质和髓质血流量速率降低。发现全身动脉和静脉压力升高,淋巴结压力降低,以及肾淋巴结质量急剧增加。在实验2 - 3个月时,除了肾实质硬化外,观察到肾脏血流量速率升高,淋巴结压力降低至初始值。

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