Lebedev A A, Dubishchev A V
Kardiologiia. 1978 Mar;18(3):101-6.
Rat experiments were conducted for comparative study of the effect of diuretics, injected into the organism in a single dose prior to two-and-a-half-hour ischemia of an only kidney and after it, on the extent of the kidney affection and survival of the animals. It was established that furosemid, etacryn acid and mannitol exert a preventive protective effect in ischemia of the kidneys and considerably increase the survival of rats as compared to the control-group. Analysis of the renal function in the first five days of the postischemic period testifies to the property of the above-mentioned diuretics for normalizing excretory processes on the 2nd-4th days of the action of the injuring agent, and for relieving or shortening the oligoanuric phase of acute renal failure. The significance of metabolic shifts, intratubular hydrodynamics and vascular microcirculation in the mechanism of the protective effect of diuretics in ischemia of the kidneys is discussed.
进行了大鼠实验,以比较利尿剂在仅一侧肾脏缺血两小时半之前和之后单次注入机体时,对肾脏病变程度和动物存活率的影响。结果表明,与对照组相比,速尿、依他尼酸和甘露醇对肾脏缺血具有预防性保护作用,并显著提高大鼠的存活率。对缺血后初期五天肾功能的分析表明,上述利尿剂具有在损伤因素作用的第2 - 4天使排泄过程正常化,以及缓解或缩短急性肾衰竭少尿无尿期的特性。文中讨论了代谢变化、肾小管内流体动力学和血管微循环在利尿剂对肾脏缺血保护作用机制中的意义。