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容量耗竭对禽肾入球小动脉的影响。

Effect of volume depletion on the afferent arterioles in the avian kidney.

作者信息

Morild I, Christensen J A, Halvorsen O J, Farstad M

出版信息

Virchows Arch A Pathol Anat Histopathol. 1987;411(2):149-55. doi: 10.1007/BF00712738.

Abstract

Nine white leghorn chickens were injected i.m. with furosemide (10 to 60 mg/kg body weight) twice daily for 18 days. The birds were then anesthetized with a combination of equithesin and diazepam and the kidneys perfused via the heart. Kidney tissue was sectioned serially and the granular epithelioid cells were counted in the juxtaglomerular apparatuses of the furosemide treated birds and in 3 normal chickens. Hyperplasia and hypergranulation of the epithelioid cells was found to occur in the juxtaglomerular apparatuses of both mammalian and reptilian type nephrons (with and without Henles loop) in the furosemide treated group. This finding was interpreted as an effect of hypovolaemia on the juxtaglomerular apparatuses. Furosemide caused an immediate stop in weight gain, an increase in the erythrocyte volume fraction and a sudden drop in blood pressure. The blood pressure later rose to subnormal levels. The heart rate was not altered. Plasma sodium and chloride fell significantly one day after furosemide administration and remained low throughout the experiment. Potassium fell during the second part of the experimental period. Captopril was injected after 18 days of furosemide treatment and lowered the blood pressure significantly. This was interpreted as indirect evidence for the presence of renin in the granular epithelioid cells and indicates the importance of the renin angiotensin system in maintaining the blood pressure in hypovolaemic conditions.

摘要

给9只白来航鸡每日两次肌肉注射速尿(10至60毫克/千克体重),持续18天。然后用速眠新和地西泮联合麻醉这些鸡,并通过心脏对肾脏进行灌注。将肾脏组织连续切片,对速尿处理组鸡的近球小体以及3只正常鸡的近球小体中的颗粒状上皮样细胞进行计数。发现在速尿处理组中,哺乳动物型和爬行动物型肾单位(有或无亨氏袢)的近球小体中均出现上皮样细胞增生和颗粒增多。这一发现被解释为血容量减少对近球小体的影响。速尿导致体重立即停止增加、红细胞容积分数增加以及血压突然下降。血压随后升至低于正常水平。心率未改变。速尿给药一天后血浆钠和氯显著下降,并在整个实验过程中保持在低水平。钾在实验期的第二部分下降。在速尿治疗18天后注射卡托普利,血压显著降低。这被解释为颗粒状上皮样细胞中存在肾素的间接证据,并表明肾素 - 血管紧张素系统在维持低血容量状态下的血压方面的重要性。

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