Heller J, Horácek V, Kasalický J
Pflugers Arch. 1979 Oct;382(1):91-8. doi: 10.1007/BF00585910.
Tissue blood flow (TBF), its percent distribution and glomerular blood flow (GBF) were measured using labelled microspheres 15 micrometer in diameter (M) and chicken red blood cells (CRBC) at perfusion pressures (PP) of 17.3, 12.8 and 8.0 kPa (130, 95 and 60 mm Hg) in isolated alloperfused dog kidneys. Renal blood flow (RBF) was never interrupted during the isolation. Experiments with M showed a marked inequality of the tissue blood flow in different parts of the renal cortex at a constant PP of 17.3 kPa. TBF was highest in the outermost quarter and lowest in the juxtamedullary one. Using CRBC, a homogeneous TBF was observed in the outer 3/4 of the renal cortex with a lower flow in the innermost quarter. With M, a typical percent "redistribution" of TBF and GBF into the inner cortical regions was indicated during PP reduction. With CRBC, this phenomenon was observed only at PP below the range of RBF autoregulation (8.0 kPa) and was much less conspicuous than with M. The smaller size and higher elasticity of CRBC as compared with M, may result in a more realistic reflection of cortical blood flow distribution. The GBF of outermost superficial glomeruli decreases, even with CRBC, with each PP reduction, the difference exhibiting only a 5% significance level. The lower limit of BF autoregulation in these glomeruli seems to be somewhat higher than that of total RBF autoregulation.
在离体的同种异体灌注犬肾中,使用直径15微米的标记微球(M)和鸡红细胞(CRBC),在17.3、12.8和8.0千帕(130、95和60毫米汞柱)的灌注压力(PP)下测量组织血流量(TBF)、其百分比分布以及肾小球血流量(GBF)。在分离过程中,肾血流量(RBF)从未中断。用微球进行的实验表明,在17.3千帕的恒定灌注压力下,肾皮质不同部位的组织血流量存在明显差异。TBF在最外层四分之一处最高,在近髓质处最低。使用CRBC时,在肾皮质外3/4区域观察到均匀的TBF,最内层四分之一处血流量较低。使用微球时,在灌注压力降低期间,TBF和GBF呈现出典型的向皮质内层区域的百分比“重新分布”。使用CRBC时,这种现象仅在灌注压力低于RBF自身调节范围(8.0千帕)时才观察到,且比使用微球时要明显得多。与微球相比,CRBC尺寸更小且弹性更高,可能导致对皮质血流分布的反映更符合实际情况。即使使用CRBC,随着每次灌注压力降低,最外层浅表肾小球的GBF也会降低,差异仅在5%的显著水平。这些肾小球中BF自身调节的下限似乎略高于总RBF自身调节的下限。