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犬急性输尿管梗阻时的肾小球滤过反应。

Glomerular filtration response to acute ureteral obstruction in the dog.

作者信息

Katzberg R W, Morris T W, DiMarco P L, Merguerian P A, Ventura J A, Linke C A, Fischer H W

出版信息

J Urol. 1985 Nov;134(5):1007-10. doi: 10.1016/s0022-5347(17)47577-x.

Abstract

In order to assess the glomerular filtration responses to acute ureteral obstruction in the dog we employed an established method that does not require timed urine collections. Our results show a 57 per cent increase in renal blood flow (baseline: 203.8 +/- 50.9 vs. 319 +/- 69.4 ml./min. at 105 minutes; no. = 7) that was associated with a monophasic decrease in filtration fraction to -70 per cent at 120 minutes (0.26 +/- 0.025 vs. 0.08 +/- 0.007) and an increase in ureteral pressure to 63.1 +/- 6.1 mm. Hg at 120 minutes. A biphasic GFR response was noted with an initial small increase (baseline: 32.5 +/- 7.5 vs. 36.3 +/- 11.0 ml./min. at 2 minutes) followed by a continual decline to -55 per cent at 120 minutes (to 14.5 +/- 2.6 ml./min.). This investigation has confirmed the results of micropuncture studies showing maintenance of GFR early after complete ureteral ligation.

摘要

为了评估犬急性输尿管梗阻时的肾小球滤过反应,我们采用了一种既定方法,该方法无需定时收集尿液。我们的结果显示肾血流量增加了57%(基线:203.8±50.9 vs. 105分钟时为319±69.4毫升/分钟;n = 7),这与滤过分数在120分钟时单相下降至-70%(0.26±0.025 vs. 0.08±0.007)以及输尿管压力在120分钟时升高至63.1±6.1毫米汞柱有关。观察到肾小球滤过率(GFR)呈双相反应,最初有小幅增加(基线:2分钟时为32.5±7.5 vs. 36.3±11.0毫升/分钟),随后在120分钟时持续下降至-55%(降至14.5±2.6毫升/分钟)。本研究证实了微穿刺研究的结果,即完全输尿管结扎后早期肾小球滤过率得以维持。

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