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新生犬对生理盐水负荷的肾脏反应:肾内血流分布的作用。

Renal response of the new-born dog to a saline load: the role of intrarenal blood flow distribution.

作者信息

Kleinman L I, Reuter J H

出版信息

J Physiol. 1974 Jun;239(2):225-36. doi: 10.1113/jphysiol.1974.sp010565.

Abstract
  1. The renal response to an intravenous saline load was studied in thirty new-born mongrel dogs aged 1-30 days and in seven adult dogs.2. After the infusion of isotonic saline at a rate of 2.0 ml. min(-1) kg(-1) for 15 min and then at a rate of 0.5 ml. min(-1) kg(-1) for an additional 105 min, the puppies excreted a significantly smaller fraction of the infused sodium than did the adults (P < 0.01).3. Both puppies and adults increased their glomerular filtration rates after the saline load. However, adults excreted a larger fraction of their filtered sodium than did the puppies (P < 0.01).4. There was no correlation between age and the ability to respond to a saline load during the first month of life.5. Intrarenal blood flow distribution was measured by the radioactive microsphere technique. After saline infusion in the puppy there was an increase in outer cortical blood flow but inner cortical blood flow remained relatively constant. The result was a decrease in the ratio of inner to outer cortical blood flow (IC/OC ratio). In contrast the IC/OC ratio tended to increase in the adult dog after saline expansion.6. There was no correlation between the magnitude of change of sodium excretion and the change of intrarenal blood flow distribution in the puppy.7. These results confirm that the natriuretic response of the new-born dog kidney is less efficient than that of the adult dog. This is due primarily to the failure of the puppy kidney to decrease fractional sodium reabsorption. Although the new-born dog alters intrarenal blood flow distribution in response to saline loading this alteration does not appear to play a significant role in sodium excretion.
摘要
  1. 对30只1 - 30日龄的新生杂种犬和7只成年犬进行了静脉输注生理盐水负荷后肾脏反应的研究。

  2. 以2.0毫升·分钟⁻¹·千克⁻¹的速率输注等渗盐水15分钟,然后以0.5毫升·分钟⁻¹·千克⁻¹的速率再输注105分钟后,幼犬排出的输注钠的比例明显低于成年犬(P < 0.01)。

  3. 幼犬和成年犬在生理盐水负荷后肾小球滤过率均增加。然而,成年犬排出的滤过钠的比例高于幼犬(P < 0.01)。

  4. 在出生后的第一个月内,年龄与对生理盐水负荷的反应能力之间没有相关性。

  5. 采用放射性微球技术测量肾内血流分布。给幼犬输注生理盐水后,外层皮质血流增加,但内层皮质血流保持相对恒定。结果是内层与外层皮质血流之比(IC/OC比)降低。相比之下,成年犬在生理盐水扩容后IC/OC比趋于增加。

  6. 幼犬钠排泄变化的幅度与肾内血流分布的变化之间没有相关性。

  7. 这些结果证实,新生犬肾脏的利钠反应比成年犬低效。这主要是由于幼犬肾脏未能降低钠重吸收分数。尽管新生犬在生理盐水负荷后会改变肾内血流分布,但这种改变似乎在钠排泄中不起重要作用。

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