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脱水和血容量扩充大鼠间质中的流体静力压和胶体渗透压

Hydrostatic and oncotic pressures in the interstitium of dehydrated and volume expanded rats.

作者信息

Selén G, Persson A E

出版信息

Acta Physiol Scand. 1983 Jan;117(1):75-81. doi: 10.1111/j.1748-1716.1983.tb07180.x.

Abstract

The pressures in the renal interstitial space seem to have important influence on the setting of the sensitivity of the tubuloglomerular feedback that controls the glomerular filtration rate (GFR), and on the rate of proximal tubular fluid reabsorption. Measurements were made of interstitial pressure conditions, GFR, renal plasma flow (RPF), urinary excretion of sodium and potassium, and plasma renin activities in dehydrated animals and normopenic controls, before and after saline volume expansion (5% of body weight and hour). Colloid osmotic pressure, estimated from the protein concentration in renal hilar lymph, was 7.5 mmHg in the dehydrated animals (controls 2.8 mmHg) and decreased to 3.1 (controls 1.7 mmHg) after volume expansion. The lymph flow rate was increased in both groups of animals after volume expansion. Interstitial hydrostatic pressure, measured in the subcapsular space, was 2-3 mmHg in dehydrated and control animals and increased to 3-4 mmHg after volume expansion. In dehydrated rats GFR and RPF was reduced to 60% of the control values, but after volume expansion they regained control values. After volume expansion, urinary excretion of fluid and electrolytes increased more in controls than in dehydrated rats. Plasma renin activity was decreased in both groups of rats after volume expansion. Thus, in dehydrated animals there was a high colloid osmotic pressure and a low hydrostatic pressure in the renal interstitium, while after volume expansion the oncotic pressure fell and the hydrostatic pressure rose. The effect of volume expansion was found to be dependent on the preceding volume balance situation in the animal.

摘要

肾间质空间的压力似乎对控制肾小球滤过率(GFR)的球管反馈敏感性的设定以及近端肾小管液重吸收速率具有重要影响。在脱水动物和正常血容量对照组中,于生理盐水扩容(体重的5%,1小时)前后,测量了间质压力状况、GFR、肾血浆流量(RPF)、钠和钾的尿排泄量以及血浆肾素活性。根据肾门淋巴中的蛋白质浓度估算的胶体渗透压,在脱水动物中为7.5 mmHg(对照组为2.8 mmHg),扩容后降至3.1 mmHg(对照组为1.7 mmHg)。两组动物扩容后淋巴流速均增加。在囊下间隙测量的间质静水压,在脱水和对照动物中为2 - 3 mmHg,扩容后升至3 - 4 mmHg。在脱水大鼠中,GFR和RPF降至对照值的60%,但扩容后恢复到对照值。扩容后,对照组的液体和电解质尿排泄量增加幅度大于脱水大鼠。两组大鼠扩容后血浆肾素活性均降低。因此,在脱水动物中,肾间质存在高胶体渗透压和低静水压,而扩容后胶体渗透压下降,静水压上升。发现扩容的效果取决于动物先前的容量平衡状况。

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