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缺水、输尿管压力升高以及用等渗盐水进行急性容量扩张时的有效肾小球滤过压和单个肾单位滤过率。

Effective glomerular filtration pressure and single nephron filtration rate during hydropenia, elevated ureteral pressure, and acute volume expansion with isotonic saline.

作者信息

Andreucci V E, Herrera-Acosta J, Rector F C, Seldin D W

出版信息

J Clin Invest. 1971 Oct;50(10):2230-4. doi: 10.1172/JCI106719.

Abstract

Free-flow and stop-flow intratubular pressures were measured in rats with an improved Gertz technique using Landis micropipets or a Kulite microtransducer. In hydropenia, average single nephron glomerular filtration rate was 29.3 nl/min, glomerular hydrostatic pressure (stop-flow pressure + plasma colloid osmotic pressure) was 70 cm H(2)O and mean glomerular effective filtration pressure was 12.7-14.3 cm H(2)O, approaching zero at the efferent end of the glomerulus. Thus, the glomerulus is extremely permeable, having a filtration coefficient four to five times greater than previously estimated. Mean effective filtration pressure and single nephron glomerular filtartion rate fell with elevated ureteral pressure and rose with volume expansion, more or less proportionately. Changes in effective filtration pressure were due primarily to increased intratubular pressure in ureteral obstruction and to reduced plasma colloid osmotic pressure in volume expansion; glomerular hydrostatic pressure remained constant in both conditions and thus played no role in regulation of filtration rate.

摘要

采用改良的格茨技术,使用兰迪斯微量移液器或库利特微型换能器,测量大鼠肾小管内的自由流动压力和停流压力。在缺水状态下,平均单肾单位肾小球滤过率为29.3 nl/分钟,肾小球静水压力(停流压力 + 血浆胶体渗透压)为70 cm H₂O,平均肾小球有效滤过压为12.7 - 14.3 cm H₂O,在肾小球出球端接近零。因此,肾小球具有极高的通透性,其滤过系数比先前估计的大四到五倍。平均有效滤过压和单肾单位肾小球滤过率随输尿管压力升高而下降,随容量扩张而上升,大致成比例。有效滤过压的变化主要是由于输尿管梗阻时肾小管内压力升高以及容量扩张时血浆胶体渗透压降低;在这两种情况下,肾小球静水压力保持恒定,因此在滤过率调节中不起作用。

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