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肾脏的淋巴管与肾淋巴的形成

The lymphatics of the kidney and the formation of renal lymph.

作者信息

McIntosh G H, Morris B

出版信息

J Physiol. 1971 May;214(3):365-76. doi: 10.1113/jphysiol.1971.sp009438.

Abstract
  1. The anatomy of the renal lymphatics and the flow and composition of renal lymph have been investigated in sheep. Lymphatic capillaries were demonstrated in the cortex and cortico-medullary areas of the sheep's kidney but not within the medulla. The lymph formed in the sheep's kidney drains from the hilum through several small lymphatics; there is no lymphatic drainage from the renal capsule.2. Lymph flow from the sheep's kidney varied from 0.5 to 3.0 ml./hr. The concentrations of electrolytes and urea in renal lymph were found to be similar to lymph from other regions of the body, but the concentration of endogenous creatinine was lower. The average concentration of protein in renal lymph was 43% of the plasma levels; there was a significantly higher proportion of albumin in renal lymph than in plasma. When labelled albumin was injected intravenously, the specific activities of the plasma and renal lymph albumin equilibrated in about 2 hr.3. When [(14)C]inulin, [(125)I]hippuran or [(14)C]creatinine were infused intravenously radioactivity appeared rapidly in the renal lymph. When steady-state levels were reached in the circulating plasma, the renal lymph/jugular vein plasma ratios for [(14)C]inulin and [(14)C]creatinine were 0.82 while for [(125)I]hippuran the ratio was 0.34. It was considered that the concentration of these substances in renal lymph was similar to the concentration in renal vein plasma.4. The concentration of renin enzyme was on the average about 8 times higher in renal lymph than in jugular vein or renal vein plasma or in lymph from the hind limbs.5. Renal lymph appeared to be formed principally, if not entirely, in the renal cortex and appeared to be a modified filtrate derived from post-glomerular blood capillaries. If any contribution to renal lymph does come from the medulla, it must be small in relation to the volume of lymph formed in the cortex.
摘要
  1. 对绵羊的肾淋巴管解剖结构以及肾淋巴的流量和成分进行了研究。在绵羊肾脏的皮质和皮质 - 髓质区域发现了毛细淋巴管,但髓质内未发现。绵羊肾脏中形成的淋巴液通过几条小淋巴管从肾门流出;肾包膜没有淋巴引流。

  2. 绵羊肾脏的淋巴流量为每小时0.5至3.0毫升。发现肾淋巴中电解质和尿素的浓度与身体其他部位的淋巴相似,但内源性肌酐的浓度较低。肾淋巴中蛋白质的平均浓度为血浆水平的43%;肾淋巴中白蛋白的比例明显高于血浆。静脉注射标记白蛋白后,血浆和肾淋巴白蛋白的比活性在约2小时内达到平衡。

  3. 静脉注射[(14)C]菊粉、[(125)I]马尿酸或[(14)C]肌酐后,放射性物质迅速出现在肾淋巴中。当循环血浆达到稳态水平时,[(14)C]菊粉和[(14)C]肌酐的肾淋巴/颈静脉血浆比值为0.82,而[(125)I]马尿酸的比值为0.34。据认为,这些物质在肾淋巴中的浓度与肾静脉血浆中的浓度相似。

  4. 肾素酶的浓度平均而言,肾淋巴中的浓度比颈静脉或肾静脉血浆中的浓度以及后肢淋巴中的浓度高约8倍。

  5. 肾淋巴似乎主要(如果不是完全)在肾皮质中形成,并且似乎是源自肾小球后毛细血管的一种改良滤液。如果髓质对肾淋巴有任何贡献,相对于皮质中形成的淋巴液体积而言,一定很小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35e/1331844/4159186b3e67/jphysiol01029-0015-a.jpg

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