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[高血压时肾脏的内分泌结构]

[Endocrine structures of the kidney in hypertension].

作者信息

Tsibel' B N, Khodasevich L S

出版信息

Arkh Patol. 1984;46(9):62-8.

PMID:6508576
Abstract

Comparative morphometric study of the juxtaglomerular complex and interstitial cells of the corticomedullary zone of the kidney was performed on the autopsy material in benign (26 cases) and malignant hypertension; for control, 15 cases were examined. The state of intrarenal arteries, arterioles and the degree of medulla interstitium sclerosis were taken into consideration. No activation of the renin-producing system was observed morphometrically in "benign" hypertension while it was pronounced in malignant hypertension. The hypothesis is put forward on the reserve renin secretion by mesangial cells in malignant hypertension. It is assumed that the prostaglandine-synthesizing function of the interstitial cells is not damaged in benign hypertension, but it is significantly lower in malignant course of the disease. Relationship is shown between the alterations of intrarenal arteries and arterioles and the degree of the medulla sclerosis in malignant hypertension.

摘要

对良性高血压(26例)和恶性高血压尸检材料的肾近球复合体及肾皮质髓质区间质细胞进行了形态计量学比较研究;作为对照,检查了15例。考虑了肾内动脉、小动脉状态及髓质间质硬化程度。在“良性”高血压中未观察到形态计量学上肾素分泌系统的激活,而在恶性高血压中则很明显。提出了关于恶性高血压中系膜细胞储备肾素分泌的假说。假定间质细胞的前列腺素合成功能在良性高血压中未受损,但在疾病的恶性病程中则明显降低。显示了恶性高血压中肾内动脉和小动脉改变与髓质硬化程度之间的关系。

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