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单侧肾切除术后的肾功能。

Kidney function after unilateral nephrectomy.

作者信息

Fleck C, Bräunlich H

出版信息

Exp Pathol. 1984;25(1):3-18. doi: 10.1016/s0232-1513(84)80002-x.

Abstract

Immediately after unilateral nephrectomy ( uNX ) some different mechanisms of compensatory adaptation begin to act followed by a restoration of sufficient kidney function in a short time period. Beside biochemical changes early compensatory hypertrophy of the remaining kidney occurs. Simultaneously, functional adaptations of renal blood flow, glomerular filtration and exertion of electrolyte and xenobiotics take place. With a suitable pretreatment it is principally possible to accelerate the regeneration phase. Thus the phase of reduced excretion capacity of tubularly secreted xenobiotics after removal of one kidney can be shortened or prevented.

摘要

单侧肾切除术后,一些不同的代偿适应机制立即开始起作用,随后在短时间内恢复足够的肾功能。除了生化变化外,剩余肾脏还会出现早期代偿性肥大。同时,肾血流量、肾小球滤过以及电解质和外源性物质排泄功能也会发生适应性变化。通过适当的预处理,原则上可以加速再生阶段。因此,切除一侧肾脏后肾小管分泌外源性物质排泄能力降低的阶段可以缩短或避免。

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