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血浆钠浓度急性变化期间麻醉犬的肾血流量和肾小球滤过率。

The renal blood flow and the glomerular filtration rate of anaesthetized dogs during acute changes in plasma sodium concentration.

作者信息

Nashat F S, Tappin J W, Wilcox C S

出版信息

J Physiol. 1976 Apr;256(3):731-45. doi: 10.1113/jphysiol.1976.sp011348.

Abstract
  1. The effects of acute changes in plasma Na concentration (P(Na)) on renal blood flow (RBF) and glomerular filtration rate (GFR) were studied in anaesthetized greyhounds. Saline was infused at a constant rate (0.1 ml. kg(-1) min(-1)) either into a renal artery or into a systemic vein. Plasma Na concentration was altered by varying the Na concentration of the infused saline from 0.154 to 0.077, 0.616 or 1.232 M.2. Blood pressure (B.P.), packed cell volume (PCV), concentration of plasma solids (PS) and the plasma concentration of H(+) and K (P(K)) ions were measured but no attempt was made to contain their fluctuation.3. An infusion of hypertonic saline into a renal artery usually led to an ipsilateral increase in RBF for 5-15 min, followed by a progressive fall. Over-all, mean values of RBF fell with P(Na) throughout the range studied (120-190 m-mole l.(-1)). Glomerular filtration rate rose with P(Na) to reach maximal values at P(Na) levels of 140-160 m-mole l.(-1), but fell thereafter. The combined fall in RBF and GFR, without change in filtration fraction, at P(Na) values above 160 m-mole l.(-1) is consistent with an alteration in afferent arteriolar resistance. The fall in GFR despite a rise in RBF noted when P(Na) was reduced below 140 m-mole l.(-1) requires an additional explanation.4. Renal blood flow was independent of P(K); it was inversely related to [H(+)] and directly related to PS. Glomerular filtration rate was independent of PCV and P(K). It was also inversely related to [H(+)] and directly related to PS up to a value of 6 g 100 g(-1) plasma, after which the relationship was reversed. These results suggest that the renal vascular responses to acute changes in P(Na) may be mediated in part, at least, by concurrent change in PS and [H(+)].
摘要
  1. 在麻醉的灵缇犬身上研究了血浆钠浓度(P(Na))急性变化对肾血流量(RBF)和肾小球滤过率(GFR)的影响。以恒定速率(0.1 ml·kg⁻¹·min⁻¹)将生理盐水注入肾动脉或体静脉。通过将注入生理盐水的钠浓度从0.154 M 改变为0.077 M、0.616 M 或 1.232 M 来改变血浆钠浓度。

  2. 测量了血压(B.P.)、红细胞压积(PCV)、血浆固体浓度(PS)以及血浆中H⁺和K⁺(P(K))离子的浓度,但未试图控制它们的波动。

  3. 向肾动脉注入高渗盐水通常会导致同侧肾血流量在5 - 15分钟内增加,随后逐渐下降。总体而言,在所研究的整个范围内(120 - 190 mmol·l⁻¹),肾血流量的平均值随P(Na)下降。肾小球滤过率随P(Na)升高,在P(Na)水平为140 - 160 mmol·l⁻¹时达到最大值,但此后下降。在P(Na)值高于160 mmol·l⁻¹时,肾血流量和肾小球滤过率共同下降,而滤过分数不变,这与入球小动脉阻力的改变一致。当P(Na)降低到140 mmol·l⁻¹以下时,尽管肾血流量增加但肾小球滤过率仍下降,这需要额外的解释。

  4. 肾血流量与P(K)无关;它与[H⁺]呈负相关,与PS呈正相关。肾小球滤过率与PCV和P(K)无关。它也与[H⁺]呈负相关,与PS呈正相关,直到血浆值达到6 g/100 g⁻¹,此后关系逆转。这些结果表明,肾血管对P(Na)急性变化的反应可能至少部分地由PS和[H⁺]的同时变化介导。

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