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麻醉犬的瞬时肾动脉压力-血流关系

Instantaneous renal arterial pressure-flow relations in anesthetized dogs.

作者信息

Ehrlich W, Baer R W, Paidipaty B B, Randazzo R

出版信息

Am J Physiol. 1984 May;246(5 Pt 2):H702-9. doi: 10.1152/ajpheart.1984.246.5.H702.

Abstract

Instantaneous renal arterial pressure-flow (P/ Qra ) relations were investigated in 11 anesthetized dogs using the nonpulsatile fall in aortic pressure and renal arterial flow ( Qra ) during cardiac arrest caused by vagal stimulation. We found that P/ Qra relations were linear with an extrapolated zero flow intercept (Ped, effective downstream pressure) of 20.8 +/- 1.9 mmHg and the reciprocal of the slope (Ra, arterial resistance) of 0.6 +/- 0.04 mm Hg X ml-1 X min. These values are markedly lower than the values found in similar experiments in coronary and femoral arteries. Raising renal venous pressure (5 dogs) decreased Qra and elevated Ra and Ped in the ipsilateral renal artery while decreasing Qra and elevating Ra but not Ped in the contralateral renal artery. Carotid artery occlusion (6 dogs) decreased Qra and elevated Ra and Ped. Alpha-Adrenergic blockade (4 dogs) lowered Ped and Ra. Arterial resistance seems to be more important for change in P/Q relations in the renal arterial bed than it is in other arterial beds investigated so far. We suggest that the effective downstream pressure to renal arterial flow is downstream from the glomerular capillaries. The location of the "vascular waterfall " phenomenon appears to be between the intrarenal veins and the veins outside the capsule.

摘要

利用迷走神经刺激导致心脏骤停期间主动脉压力和肾动脉血流(Qra)的非搏动性下降,对11只麻醉犬的瞬时肾动脉压力-血流(P/Qra)关系进行了研究。我们发现,P/Qra关系呈线性,外推零流量截距(Ped,有效下游压力)为20.8±1.9 mmHg,斜率倒数(Ra,动脉阻力)为0.6±0.04 mmHg×ml-1×min。这些值明显低于在冠状动脉和股动脉的类似实验中所发现的值。升高肾静脉压力(5只犬)可降低同侧肾动脉的Qra,升高Ra和Ped,而降低对侧肾动脉的Qra,升高Ra但不升高Ped。阻断颈动脉(6只犬)可降低Qra,升高Ra和Ped。α-肾上腺素能阻断(4只犬)可降低Ped和Ra。与迄今为止所研究的其他动脉床相比,动脉阻力对肾动脉床中P/Q关系变化似乎更为重要。我们认为,肾动脉血流的有效下游压力位于肾小球毛细血管的下游。“血管瀑布”现象的位置似乎在肾内静脉与肾包膜外静脉之间。

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