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[速尿对缺盐时肾髓质血流动力学的影响]

[Effect of furosemide on the hemodynamics of the kidney medulla during salt depletion].

作者信息

Heuer L J, Menge B, Uthgenannt H

出版信息

Arzneimittelforschung. 1978;28(6):1000-3.

PMID:581995
Abstract

UNLABELLED

In sodium depleted rats cortical and medullary blood flow was studied before and after 4-chloro-N-(2-furylmethyl)-5-sulfamoyl-anthranilic acid (furosemide). 86Rb was used as an indicator of renal hemodynamics. Its activity was assessed in systemic blood and in tissue slices of the kidney. At the beginning of the experiments the animals were loaded p.o. with 1.3 ml/100 g b.w. of isotonic saline. 3 h later a rapid i.v. injection of 50 muCi (=5.6 MBq) 86Rb was given to 12 control and 9 furosemide treated animals.

RESULTS

After 0.7 mg/100 g b.w. of furosemide the sodium and water excretion rises to 820% and 860% resp. (p less than 0.0005). Systemic body hematocrit increases from 47 to 49%. The renal cortical blood flow is not influenced by furosemide. Compared with controls there is a decrease in blood flow through the outer medulla from 1.57 +/- 0.65 to 1.00 +/- 0.37 ml/g.min, through the inner medulla from 0.75 +/- 0.30 to 0.59 +/- 0.23 ml/g.min, and through the papillary tips from 0.85 +/- 0.40 to 0.46 +/- 0.18 ml/g.min. However, these hemodynamics changes are not significant. It is concluded that the decrease in renal medullary hemodynamics of furosemide-treated rats is due to a stimulation of the renin-angiotensin system.

摘要

未标记

在钠耗竭的大鼠中,研究了4-氯-N-(2-呋喃甲基)-5-氨磺酰基-邻氨基苯甲酸(速尿)给药前后的皮质和髓质血流。用86Rb作为肾血流动力学的指标。在全身血液和肾脏组织切片中评估其活性。实验开始时,经口给动物灌胃1.3 ml/100 g体重的等渗盐水。3小时后,对12只对照动物和9只速尿处理的动物快速静脉注射50 μCi(=5.6 MBq)86Rb。

结果

给予0.7 mg/100 g体重的速尿后,钠和水排泄分别升至820%和860%(p<0.0005)。全身血细胞比容从47%增加到49%。速尿不影响肾皮质血流。与对照组相比,外髓血流从1.57±0.65降至1.00±0.37 ml/g·min,内髓血流从0.75±0.30降至0.59±0.23 ml/g·min,乳头尖端血流从0.85±0.40降至0.46±0.18 ml/g·min。然而,这些血流动力学变化不显著。结论是,速尿处理的大鼠肾髓质血流动力学的降低是由于肾素-血管紧张素系统的刺激。

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