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犬近端小管对钠的重吸收分数降低,无钠利尿。

Depression of fractional sodium reabsorption by the proximal tubule of the dog without sodium diuresis.

作者信息

Howards S S, Davis B B, Knox F G, Wright F S, Berliner R W

出版信息

J Clin Invest. 1968 Jul;47(7):1561-72. doi: 10.1172/JCI105848.

Abstract

The effect of infusions of hyperoncotic solutions on fractional sodium reabsorption by the proximal tubule of the dog was studied by the recollection micropuncture method. Tubule fluid to plasma inulin concentration ratios were measured for identified proximal tubule segments before and after infusion of 25% albumin or dextran solutions. Results were compared with changes in fractional reabsorption during saline diuresis. Plasma volume increased 66% +/- SE 5.8 after infusion of albumin solution and 94% +/- SE 8.2 after infusion of dextran solution. Fractional sodium reabosorption by the proximal tubule was depressed after infusion of both of these hyperoncotic solutions. Nevertheless, changes in sodium excretion after infusion of albumin and dextran were small. In contrast, after infusions of isotonic sodium chloride solution, which increased plasma volume 61% +/- SE 5.8, a decrease in fractional reabsorption of 50.7% +/- SE 7.2 was associated with large changes in sodium excretion.

摘要

采用回收微穿刺法研究了输注高渗溶液对犬近端小管钠重吸收分数的影响。在输注25%白蛋白或右旋糖酐溶液前后,测定已识别的近端小管节段的小管液与血浆菊粉浓度比。将结果与盐水利尿期间重吸收分数的变化进行比较。输注白蛋白溶液后血浆量增加66%±标准误5.8,输注右旋糖酐溶液后增加94%±标准误8.2。输注这两种高渗溶液后,近端小管的钠重吸收分数均降低。然而,输注白蛋白和右旋糖酐后钠排泄的变化很小。相比之下,输注等渗氯化钠溶液后,血浆量增加61%±标准误5.8,重吸收分数降低50.7%±标准误7.2,同时钠排泄有很大变化。

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