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[移植肾儿茶酚胺的尿排泄]

[Urinary excretion of catecholamines by the transplanted kidney].

作者信息

Stríbrná J, Placer Z, Hrabánĕová J, Kocandrle V, Lánská V, Reitschlägerová V

出版信息

Vnitr Lek. 1989 Sep;35(9):846-51.

PMID:2815600
Abstract

In 88 patients after kidney transplantation (Tx) and in 30 healthy volunteers the urinary adrenaline, noradrenaline and dopamine excretion in 24 hours was examined. The results were calculated per values of glomerular filtration rate (Ccr). In patients after Tx an increased adrenaline excretion was found and its relative predominance over noradrenaline in urine, as it is the case in renal insufficiency. The absolute reduction of noradrenaline excretion was, when calculated per Ccr values, proportional to the number of functional nephrons. The absolute dopamine excretion was proportional to Ccr values and when calculated per glomerular filtration rate it was significantly higher than in controls. The elevated values of fractional sodium excretion in group Tx suggest that in the residual functional nephrons the increased sodium supply may act as a stimulus for dopamine formation in the kidney.

摘要

对88例肾移植患者和30名健康志愿者进行了24小时尿肾上腺素、去甲肾上腺素和多巴胺排泄量的检测。结果根据肾小球滤过率(Ccr)值进行计算。肾移植患者肾上腺素排泄增加,且在尿液中其相对去甲肾上腺素占优势,这与肾功能不全时的情况相同。按Ccr值计算,去甲肾上腺素排泄的绝对减少量与功能性肾单位数量成正比。多巴胺的绝对排泄量与Ccr值成正比,按肾小球滤过率计算时,其显著高于对照组。肾移植组中分数钠排泄值升高表明,在残余的功能性肾单位中,增加的钠供应可能作为肾脏中多巴胺生成的刺激因素。

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