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狗肾包膜引发肾静脉淤滞时交感反射诱导的血管收缩。

Sympathetic reflex-induced vasoconstriction during renal venous stasis elicited from the capsule in the dog kidney.

作者信息

Abildgaard U, Henriksen O, Amtorp O

出版信息

Acta Physiol Scand. 1985 Jan;123(1):1-8. doi: 10.1111/j.1748-1716.1985.tb07554.x.

DOI:10.1111/j.1748-1716.1985.tb07554.x
PMID:2857514
Abstract

The study was performed in order to determine the effect of venous pressure elevation induced by unilateral partial renal venous ligation upon total renal blood flow and filtration fraction in the dog kidney. An anaesthesia with no known inhibitory effect on sympathetically mediated vasoconstriction was used. During control conditions instantaneous increase in renal venous pressure to 60 mmHg induced a decrease in renal blood flow (66 +/- 4%) corresponding to an ipsilateral vasoconstriction which was completely abolished following (1) surgical denervation of the kidney, (2) local alpha-receptor blockade of the kidney, and (3) application of lidocaine on the kidney surface. The most striking feature during step increase in renal venous pressure to 40 mmHg was an increase in renal vascular conductance. Renal venous pressure elevation of more than 40 mmHg induced a vasoconstriction, but the vasoconstrictor response was less pronounced as compared with that observed during instantaneous increase in renal venous pressure to the same level. The results strongly suggest that venous stasis of more than 40 mmHg activates an adrenergic sympathetic vasoconstrictor reflex comprising the spinal cord. The reflex is probably elicited from stretch receptors located in the renal capsule. Changes in filtration fraction at venous stasis during the experimental conditions indicate that renal venous pressure elevation activates mechanisms other than neural ones accounting for the reduction in the filtration fraction.

摘要

进行这项研究是为了确定单侧部分肾静脉结扎所致静脉压升高对犬肾总肾血流量和滤过分数的影响。使用了一种对交感神经介导的血管收缩无已知抑制作用的麻醉方法。在对照条件下,肾静脉压瞬间升高至60 mmHg会导致肾血流量减少(66±4%),这与同侧血管收缩相对应,而在以下情况后这种收缩完全消失:(1)对肾脏进行手术去神经支配;(2)对肾脏进行局部α受体阻滞;(3)在肾脏表面涂抹利多卡因。肾静脉压逐步升高至40 mmHg时最显著的特征是肾血管传导性增加。肾静脉压升高超过40 mmHg会引起血管收缩,但与肾静脉压瞬间升高至相同水平时观察到的血管收缩反应相比,这种血管收缩反应不太明显。结果强烈表明,超过40 mmHg的静脉淤滞会激活一种包括脊髓的肾上腺素能交感神经血管收缩反射。该反射可能由位于肾被膜的牵张感受器引发。实验条件下静脉淤滞时滤过分数的变化表明,肾静脉压升高激活了除神经机制以外的其他机制,这些机制导致了滤过分数的降低。

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