Helmchen U, Dienemann H, Kneissler U, Stahl R, Kirchertz E J
Klin Wochenschr. 1978 Mar 1;56(5):253-5. doi: 10.1007/BF01477833.
Arterial hypotension of renal origin occurred as consequence of low plasma renin activity in the presence of sodium and extracellular fluid volume depletion. Secretory insufficiency of the renin-producing juxtaglomerular cells and sodium and volume deprivation, simultaneously, were achieved by removing the "clamped" kidneys in renal hypertensive, sodium- and volume-depleted rats leaving in situ the contralateral kidneys deprived of renin during the preceding period of hypertension. It is suggested that renal hypotension after acute losses of sodium and extracellular fluid may also develop in patients with chronically depressed renin-angiotensin system.
肾源性动脉低血压是在存在钠和细胞外液量减少的情况下,由于血浆肾素活性降低所致。通过切除肾性高血压、钠和容量减少大鼠的“夹闭”肾脏,同时使对侧肾脏在前一高血压期失去肾素,实现了产生肾素的球旁细胞分泌功能不全以及钠和容量缺失。提示在肾素 - 血管紧张素系统长期受抑制的患者中,急性钠和细胞外液丢失后也可能发生肾性低血压。