Girchev R A, Natcheff N D
Department of Physiology, Scientific Medico-Biological Institute, Medical Academy, Sofia, Bulgaria.
Biomed Biochim Acta. 1988;47(6):507-14.
Diuretics were administered intravenously to unanesthetized dogs with exteriorized ureters for separate urine collection from both kidneys: furosemide (0.2 mg/kg), ethacrynic acid (0.22 mg/kg), acetazolamide (3.0 mg/kg), amiloride (1.0 mg/kg b.w.). Diuresis, urine and plasma osmolality, excretion, clearances and excretion fractions of sodium, potassium, chloride and magnesium were determined. After left-side kidney denervation not later than 50 days after operation, the above mentioned diuretics were administered to the same animals. The responses of the denervated and intact kidneys were compared. During some of the experiments after furosemide administration isotonic solution of sodium chloride in a volume, adequate to the volume of the collected urine, was infused. Furosemide or ethacrynic acid administration leads to a higher increase of both diuresis and chloride excretion from denervated kidney as compared to the intact one. After ethacrynic acid administration magnesium excretion from the denervated kidney was registered to be higher than that from the intact one. After chronic renal denervation of unanesthetized dogs, chloride and magnesium reabsorption in the ascending limb of Henle's loop was greater in the denervated than in the intact kidney. Amiloride suppression of potassium secretion in the distal part of the nephron did not lead to differences between the denervated and intact kidneys. The decreased volume of extracellular liquid, resulting from diuretic action, did not change the response of the denervated kidney to furosemide or to ethacrynic acid.
对输尿管外置、未麻醉的犬静脉注射利尿剂,以便分别收集两侧肾脏的尿液:呋塞米(0.2毫克/千克)、依他尼酸(0.22毫克/千克)、乙酰唑胺(3.0毫克/千克)、阿米洛利(1.0毫克/千克体重)。测定了利尿、尿液和血浆渗透压、排泄、清除率以及钠、钾、氯和镁的排泄分数。在术后不晚于50天对左侧肾脏进行去神经支配后,对同一批动物注射上述利尿剂。比较去神经支配肾脏和完整肾脏的反应。在一些实验中,注射呋塞米后,输注与收集尿液体积相当的等渗氯化钠溶液。与完整肾脏相比,注射呋塞米或依他尼酸后去神经支配肾脏的利尿和氯排泄增加幅度更大。注射依他尼酸后,去神经支配肾脏的镁排泄量高于完整肾脏。未麻醉犬慢性肾脏去神经支配后,亨氏袢升支中去神经支配肾脏对氯和镁的重吸收大于完整肾脏。阿米洛利对肾单位远端钾分泌的抑制作用在去神经支配肾脏和完整肾脏之间未产生差异。利尿剂作用导致的细胞外液体积减少并未改变去神经支配肾脏对呋塞米或依他尼酸的反应。