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麻醉犬高氯血症期间的肾血流动力学:卡托普利的作用

Renal haemodynamics during hyperchloraemia in the anaesthetized dog: effects of captopril.

作者信息

Wilcox C S

机构信息

Department of Medicine, University of Florida College of Medicine, Gainesville.

出版信息

J Physiol. 1988 Dec;406:27-34. doi: 10.1113/jphysiol.1988.sp017366.

Abstract
  1. An increase in plasma chloride concentration (PC1) decreases renal blood flow (RBF) and glomerular filtration rate (GFR) and inhibits the intrarenal release of renin and angiotensin II (AII). Captopril was administered to indomethacin-treated dogs to assess the role of AII independent of prostaglandins (PGs) in the haemodynamic response to hyperchloraemia. Studies were performed on kidneys that were denervated by autotransplantation. 2. Anaesthetized greyhounds received an intrarenal infusion of 0.616 M-sodium acetate, which was changed to 0.616 M-NaCl (hyperchloraemia). These infusions increased the plasma sodium and osmolality at the experimental kidney by 7-11% throughout but increased the PCl during the hypertonic NaCl infusions only (122 +/- 3 to 136 +/- 3 mM). 3. In vehicle-treated dogs (n = 8), hyperchloraemia reduced the GFR (1.4 +/- 0.1 to 1.0 +/- 0.1 ml min-1 kg-1; P less than 0.05) and the RBF (13.0 +/- 1.4 to 8.3 +/- 0.6 ml min-1 kg-1; P less than 0.01); these changes were reversible on return to the 0.616 M-sodium acetate infusion. Hyperchloraemia reduced the release of AII into renal lymph (2.5 +/- 0.9 to 1.2 +/- 0.4 pg min-1 kg-1; P less than 0.01). 4. Indomethacin (0.6 mg kg-1 and 0.2 mg kg-1 h-1 intrarenally; n = 4) blunted (P less than 0.05) the Cl--induced fall in RBF (10.4 +/- 1.1 to 8.2 +/- 0.6 ml min-1 kg-1) without changing significantly the fall in GFR or the release of AII into renal lymph.(ABSTRACT TRUNCATED AT 250 WORDS)
摘要
  1. 血浆氯离子浓度(PC1)升高会降低肾血流量(RBF)和肾小球滤过率(GFR),并抑制肾内肾素和血管紧张素II(AII)的释放。给吲哚美辛处理过的狗注射卡托普利,以评估AII在不依赖前列腺素(PGs)的情况下对高氯血症血流动力学反应的作用。研究在通过自体移植去神经的肾脏上进行。2. 麻醉后的灵缇犬接受肾内输注0.616 M - 醋酸钠,之后改为0.616 M - 氯化钠(高氯血症)。这些输注使实验肾脏处的血浆钠和渗透压在整个过程中升高7 - 11%,但仅在高渗氯化钠输注期间使PCl升高(从122±3 mM升至136±3 mM)。3. 在接受赋形剂处理的狗(n = 8)中,高氯血症降低了GFR(从1.4±0.1降至1.0±0.1 ml·min⁻¹·kg⁻¹;P<0.05)和RBF(从13.0±1.4降至8.3±0.6 ml·min⁻¹·kg⁻¹;P<0.01);这些变化在恢复输注0.616 M - 醋酸钠后是可逆的。高氯血症减少了AII释放到肾淋巴中的量(从2.5±0.9降至1.2±0.4 pg·min⁻¹·kg⁻¹;P<0.01)。4. 吲哚美辛(肾内注射0.6 mg·kg⁻¹和0.2 mg·kg⁻¹·h⁻¹;n = 4)减弱了(P<0.05)氯离子诱导的RBF下降(从10.4±1.1降至8.2±0.6 ml·min⁻¹·kg⁻¹),但未显著改变GFR的下降或AII释放到肾淋巴中的量。(摘要截断于250字)

相似文献

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Regulation of renal blood flow by plasma chloride.血浆氯离子对肾血流量的调节
J Clin Invest. 1983 Mar;71(3):726-35. doi: 10.1172/jci110820.

本文引用的文献

5
Regulation of renal blood flow by plasma chloride.血浆氯离子对肾血流量的调节
J Clin Invest. 1983 Mar;71(3):726-35. doi: 10.1172/jci110820.

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