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在输注甘露醇或进行慢性肾去神经支配后,给未麻醉犬注射呋塞米或依他尼酸后肾脏排泄功能的动态变化。

Dynamics of renal excretory function after furosemide or ethacrynic acid administration to unanaesthetized dogs after mannitol infusion or chronic renal denervation.

作者信息

Girchev R, Kabakchieva E, Vrabchev N, Natcheff N, Natochin Y

出版信息

Acta Physiol Hung. 1985;65(2):137-48.

PMID:3920869
Abstract

To unanesthetized dogs with exteriorized ureter allowing separate collection of urine from both kidneys, furosemide 0.2 mg/kg b.w. or ethacrynic acid 0.22 mg/kg b.w. was given intravenously. The volume of collected urine and the excretion of sodium, chloride, potassium and calcium were studied. The dynamics of diuretic administration was programmed. After unilateral renal denervation furosemide or ethacrynic acid was given and the response of the denervated (left) and intact (right) kidneys was compared. Prior to renal denervation the same dogs were infused with a 15% mannitol solution in a quantity and at a rate causing an increase of diuresis approximately equal to that after renal denervation. The effect of furosemide given with and without mannitol infusion was compared. Description of the dynamics of renal excretory function used by us allowed to demonstrate the modulating role of renal nerves in the regulation of water, chloride and sodium excretion after the administration of diuretics. The principal part of the compensatory reabsorption of chloride after renal denervation occurred in the ascending limb of Henle's loop. Comparison of calcium excretion after renal denervation and administration of furosemide with that after mannitol and furosemide allows to assume that after renal denervation calcium load from the proximal to the distal tubules does not increase.

摘要

对于输尿管已外置、可分别收集双侧肾脏尿液的未麻醉犬,静脉注射呋塞米0.2mg/kg体重或依他尼酸0.22mg/kg体重。研究收集尿液的量以及钠、氯、钾和钙的排泄情况。对利尿剂给药的动态过程进行了编程。在单侧肾去神经支配后给予呋塞米或依他尼酸,并比较去神经支配侧(左侧)和完整侧(右侧)肾脏的反应。在肾去神经支配之前,对相同的犬输注15%的甘露醇溶液,其量和速率导致利尿增加,其程度近似于肾去神经支配后的利尿增加。比较了在输注和未输注甘露醇的情况下给予呋塞米的效果。我们对肾脏排泄功能动态过程的描述能够证明肾神经在利尿剂给药后对水、氯和钠排泄调节中的调节作用。肾去神经支配后氯的代偿性重吸收主要发生在亨氏袢升支。比较肾去神经支配并给予呋塞米后的钙排泄与给予甘露醇和呋塞米后的钙排泄,可以推测肾去神经支配后从近端小管到远端小管的钙负荷不会增加。

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