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J Clin Invest. 1974 Dec;54(6):1329-36. doi: 10.1172/JCI107879.
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引用本文的文献

1
It is chloride depletion alkalosis, not contraction alkalosis.这是氯耗竭性碱中毒,而不是浓缩性碱中毒。
J Am Soc Nephrol. 2012 Feb;23(2):204-7. doi: 10.1681/ASN.2011070720. Epub 2012 Jan 5.

本文引用的文献

1
Excretion and reabsorption of sodium and water in the adrenalectomized dog.肾上腺切除犬体内钠和水的排泄与重吸收
Am J Physiol. 1949 Oct;159(1):124-36. doi: 10.1152/ajplegacy.1949.159.1.124.
2
Evidence for active chloride reabsorption in the distal renal tubule of the rat.大鼠远端肾小管中氯离子主动重吸收的证据。
J Clin Invest. 1962 Jan;41(1):101-7. doi: 10.1172/JCI104451.
3
RENAL CONCENTRATING ABILITY IN THE ADRENALECTOMIZED RAT.肾上腺切除大鼠的肾脏浓缩能力。
Clin Sci. 1965 Feb;28:29-37.
4
Kidney, water and electrolyte metabolism.肾脏、水与电解质代谢。
Annu Rev Physiol. 1962;24:357-420. doi: 10.1146/annurev.ph.24.030162.002041.
5
Studies on the interrelationships of the adrenal cortex and renal ammonia excretion by the rat.大鼠肾上腺皮质与肾氨排泄之间相互关系的研究。
Endocrinology. 1953 Mar;52(3):256-65. doi: 10.1210/endo-52-3-256.
6
Aldosterone in metabolic alkalosis.代谢性碱中毒中的醛固酮。
J Clin Invest. 1967 Oct;46(10):1558-71. doi: 10.1172/JCI105647.
7
Rapid determination of urea nitrogen in serum or plasma without deproteinization.无需去蛋白即可快速测定血清或血浆中的尿素氮。
Am J Med Technol. 1967 Sep-Oct;33(5):361-5.
8
Impaired renal conservation of chloride and the acid-base changes associated with potassium depletion in the rat.大鼠氯离子肾脏重吸收受损及与钾缺乏相关的酸碱变化。
Clin Sci. 1967 Jun;32(3):511-26.
9
The renal and electrolyte response to respiratory acidosis in the adrenalectomized rat.肾上腺切除大鼠对呼吸性酸中毒的肾脏及电解质反应。
Yale J Biol Med. 1966 Aug;39(1):27-37.
10
[Effect of aldosterone on sodium transport in the collecting ducts of the mammalian kidney].[醛固酮对哺乳动物肾脏集合管钠转运的影响]
Pflugers Arch. 1969;308(2):111-26. doi: 10.1007/BF00587019.

肾上腺切除术对大鼠肾脏对氯缺乏反应的影响。

Effect of adrenalectomy on the renal response to chloride depletion in the rat.

作者信息

Luke R G

出版信息

J Clin Invest. 1974 Dec;54(6):1329-36. doi: 10.1172/JCI107879.

DOI:10.1172/JCI107879
PMID:4436435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC301687/
Abstract

These experiments were aimed at investigating renal behavior towards chloride, as distinct from sodium, during dietary deprivation of these ions in adrenalectomized rats. Adrenalectomized and shamoperated control rats were maintained on saline for 3 wk, then chloride conservation during a very low chloride intake was assessed both with an abundant sodium intake (as buffered sodium phosphate in the drinking water) and after subsequent withdrawal of sodium. When sodium intake was high, there was no difference in chloride conservation between adrenalectomized and control animals, and sodium balance and weight were maintained similarly in both groups. At the same time, both experimental and control rats developed significant hypokalemia and elevation of the plasma bicarbonate levels as compared to other control rats ingesting a normal diet. In another group of adrenalectomized rats sodium phosphate was withdrawn, after normal chloride conservation was observed, and the low-salt diet continued. Negative sodium balance developed and was associated with a negative chloride balance, whereas sham-operated rats continued to conserve sodium and chloride. In further studies during polyuria, both adrenalectomized and control rats developed urinary chloride concentrations of less than 1 meq/liter. Thus adrenalectomized rats can maintain chloride balance on a low chloride, high sodium intake, in contrast to their inability to conserve sodium on a low-sodium intake. It is concluded that renal tubular reabsorption of chloride in adrenalectomized rats is adequate to establish and maintain very low urinary chloride concentrations, which may imply active chloride transport in the papillary collecting duct despite the absence of adrenocortical hormone. In addition, the typical renal response to chloride deprivation, enhanced loss of potassium and accelerated reabsorption of bicarbonate, is not dependent on adrenocortical hormones.

摘要

这些实验旨在研究肾上腺切除大鼠在饮食中缺乏这些离子时,肾脏对氯离子(与钠离子不同)的处理情况。将肾上腺切除和假手术对照大鼠用生理盐水维持3周,然后在极低的氯化物摄入量下评估氯化物的保留情况,分别在高钠摄入量(作为饮用水中的缓冲磷酸钠)时以及随后撤去钠之后进行评估。当钠摄入量高时,肾上腺切除动物和对照动物在氯化物保留方面没有差异,两组的钠平衡和体重维持情况相似。同时,与摄入正常饮食的其他对照大鼠相比,实验大鼠和对照大鼠均出现了明显的低钾血症和血浆碳酸氢盐水平升高。在另一组肾上腺切除大鼠中,在观察到正常的氯化物保留后撤去磷酸钠,并继续低钠饮食。出现了负钠平衡,并伴有负氯平衡,而假手术大鼠继续保留钠和氯。在多尿期的进一步研究中,肾上腺切除大鼠和对照大鼠的尿氯浓度均低于1毫当量/升。因此,与低钠摄入时无法保留钠相反,肾上腺切除大鼠在低氯、高钠摄入时能够维持氯平衡。结论是,肾上腺切除大鼠肾小管对氯的重吸收足以建立和维持极低的尿氯浓度,这可能意味着尽管没有肾上腺皮质激素,乳头集合管中仍存在氯的主动转运。此外,对氯缺乏的典型肾脏反应,即钾的丢失增加和碳酸氢盐重吸收加速,并不依赖于肾上腺皮质激素。