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部分肝切除的清醒大鼠尿液的浓缩与稀释

Concentration and dilution of the urine in partially hepatectomized, conscious rats.

作者信息

Perlmutt J H, Kao C C, Hill P K

出版信息

Pflugers Arch. 1977 Jul 19;369(3):233-8. doi: 10.1007/BF00582189.

Abstract
  1. The influence of partial hepatectomy on urinary concentrating ability and renal tissue sodium was determined in conscious rats deprived of water for 24 h. In comparison with a sham operation, partial hepatectomy resulted in: a) a 50% reduction in free-water reabsorption, urinary osmolality, and osmolal urine-to-plasma ratio; b) depression of free-water reabsorption at similar levels of osmolal clearance above 200 microliter/min per ml of GFR during the infusion of hypertonic NaCl and vasopressin; and c) a 30% reduction in sodium content of the renal papilla and outer medulla. 2. The renal response to an intravenous water load (2.5% glucose infused to 2.5% of body wt at 0.4 ml/min) was determined in sham-operated and partially hepatectomized, conscious rats. By 60 min after the water load, both groups had excreted practically all of the load. However, during and for 30 min after the infusion in the partially hepatectomized group, the percent of the water load excreted, urine flow, and free-water clearance were significantly reduced while urinary osmolality and osmolal urine-to-plasma ratio were significantly elevated. 3. These experiments demonstrate that shortly after partial removal of the liver the renal concentrating ability is defective and the excretion of a water load is not grossly impaired.
摘要
  1. 在禁水24小时的清醒大鼠中,测定了部分肝切除对尿浓缩能力和肾组织钠含量的影响。与假手术组相比,部分肝切除导致:a) 自由水重吸收、尿渗透压以及尿渗透压与血浆渗透压比值降低50%;b) 在输注高渗氯化钠和血管升压素期间,当渗透清除率高于200微升/分钟每毫升肾小球滤过率时,自由水重吸收受到抑制;c) 肾乳头和外髓质钠含量降低30%。2. 在假手术和部分肝切除的清醒大鼠中,测定了对静脉注射水负荷(以0.4毫升/分钟的速度输注2.5%葡萄糖至体重的2.5%)的肾反应。在水负荷后60分钟时,两组大鼠几乎已排出所有负荷。然而,在部分肝切除组输注期间及输注后30分钟内,排出的水负荷百分比、尿流量和自由水清除率显著降低,而尿渗透压和尿渗透压与血浆渗透压比值显著升高。3. 这些实验表明,部分肝切除后不久,肾浓缩能力存在缺陷,且水负荷的排泄未受到严重损害。

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