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[急性肾功能衰竭肾移植循环中的流量-速度关系(实验研究)]

[Flow volume-velocity relationship in the circulation of acutely failing kidney transplants (experimental study)].

作者信息

Schuldt H H, Fritsch F, Althaus P

出版信息

Z Exp Chir. 1979;12(6):346-52.

PMID:398101
Abstract

The volume velocity-relation of renal blood flow was examined in transplanted dog kidneys during the oliguanuric phase of the acute renal failure (ARF). Under these circumstances it is possible to separate the ARF in consequence of ischemia or hypoxia of the transplant or in consequence of rejection. A significant relation between the total blood flow and the mean flow correlation exists in the acute functional failure of ischemically injured autotransplants as in the case of autochthonous kidneys. This velocity is also kept in the acute insufficiency of autotransplants induced by shock although there exists a stronger redistribution of cortex circulation than after the ischemic insultus. Extreme low or high circulatory velocities without a relation to the blood flow originate from the deficiency of extensive vascular regions and the formation of arteriovenous shunts in acutely failing rejected homotransplants.

摘要

在急性肾衰竭(ARF)少尿期,对移植犬肾的肾血流量与容积速度关系进行了研究。在这种情况下,有可能区分出因移植肾缺血或缺氧导致的ARF,还是因排斥反应导致的ARF。在缺血性损伤自体移植的急性功能衰竭中,如同在自体肾的情况一样,总血流量与平均血流相关性之间存在显著关系。尽管与缺血损伤后相比,休克诱导的自体移植急性功能不全时皮质循环的再分布更强,但这种速度仍得以保持。在急性功能衰竭的排斥性同种异体移植中,极低或极高的循环速度与血流量无关,这源于广泛血管区域的缺乏以及动静脉分流的形成。

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