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肾静脉压升高时的肾小球超滤动力学

Glomerular ultrafiltration dynamics during increased renal venous pressure.

作者信息

Dilley J R, Corradi A, Arendshorst W J

出版信息

Am J Physiol. 1983 Jun;244(6):F650-8. doi: 10.1152/ajprenal.1983.244.6.F650.

DOI:10.1152/ajprenal.1983.244.6.F650
PMID:6859256
Abstract

The effects of unilateral partial renal venous ligation on whole kidney and single nephron function were determined in anesthetized euvolemic Munich-Wistar rats using clearance, blood flow, and micropuncture techniques. Increased venous pressure (4-22 mmHg) reduced glomerular filtration rate (GFR) and renal plasma flow (RPF) to 60% of control values; filtration fraction (FF) was constant. Similar responses occurred in the superficial cortex, as evidenced by a 40% fall in SNGFR determined while intratubular pressure was maintained at the elevated precollection level. Fractional reabsorption by the proximal convoluted tubule remained constant, indicating maintenance of glomerulotubular balance. The contralateral kidney exhibit a diuresis and natriuresis while GFR and RPF were stable. In the experimental kidney single nephron glomerular plasma flow decreased by 35% due to increments in preglomerular and efferent arteriolar resistance. The transcapillary hydrostatic pressure gradient was unchanged since there were similar 7- to 8-mmHg increases in glomerular capillary and Bowman's space pressures. Filtration pressure disequilibrium was observed in control and experimental periods. Mean effective ultrafiltration pressure was similar in both periods. Specific values for the ultrafiltration coefficient (Kf) fell from 0.023 to 0.015 nl . s-1. mmHg-1. Accordingly, partial renal venous ligation produces ipsilateral vasoconstriction and a fall in GFR that is primarily due to a proportional decline in Kf.

摘要

采用清除率、血流量和微穿刺技术,在麻醉状态下血容量正常的慕尼黑-维斯塔尔大鼠中,测定单侧部分肾静脉结扎对全肾和单肾单位功能的影响。静脉压升高(4 - 22 mmHg)使肾小球滤过率(GFR)和肾血浆流量(RPF)降至对照值的60%;滤过分数(FF)保持恒定。浅表皮质也出现类似反应,当肾小管内压力维持在升高的收集前水平时,单个浅表肾单位肾小球滤过率(SNGFR)下降40%可证明这一点。近端曲管的分数重吸收保持恒定,表明肾小球肾小管平衡得以维持。对侧肾脏出现利尿和利钠现象,而GFR和RPF保持稳定。在实验肾脏中,由于肾小球前和出球小动脉阻力增加,单个肾单位肾小球血浆流量下降35%。跨毛细血管静水压力梯度未改变,因为肾小球毛细血管和鲍曼囊压力均升高了7 - 8 mmHg。在对照期和实验期均观察到滤过压力失衡。两个时期的平均有效超滤压力相似。超滤系数(Kf)的具体值从0.023降至0.015 nl·s-1·mmHg-1。因此,部分肾静脉结扎导致同侧血管收缩和GFR下降,这主要是由于Kf成比例下降所致。

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Glomerular ultrafiltration dynamics during increased renal venous pressure.肾静脉压升高时的肾小球超滤动力学
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