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肾素对呋塞米在同种移植肾中的反应性。

Renin responsiveness to furosemide in the homotransplanted kidney.

作者信息

Lebel M, Lachance J G, Grose J H

出版信息

Biomedicine. 1981 Jul;35(3):81-4.

PMID:7023561
Abstract

Plasma renin activity (PRA) was measured after repetitive furosemide stimulations in 16 normotensive homotransplanted patients who previously had bilateral nephrectomies. The percentage PRA response to furosemide was very low (34%) in the immediate period after transplantation, but increased progressively with time to a level after one year (111%) which was not statistically different from age and sex matched control subjects. A significant correlation was found between the percentage PRA increase and the number of weeks after transplantation (r = 0.48, P less than 0.01). These data indicate that the juxtaglomerular cell responsiveness to furosemide is quantitatively time dependent after transplantation, and it is a factor that should be considered in the evaluation of renin-angiotensin system in such patients.

摘要

对16例曾行双侧肾切除术的血压正常的同种肾移植患者,在反复给予速尿刺激后测定血浆肾素活性(PRA)。移植后即刻,PRA对速尿的反应百分比非常低(34%),但随时间逐渐升高,至一年后达到一个水平(111%),与年龄和性别匹配的对照受试者相比无统计学差异。发现PRA升高百分比与移植后周数之间存在显著相关性(r = 0.48,P < 0.01)。这些数据表明,移植后肾小球旁细胞对速尿的反应性在数量上与时间相关,这是评估此类患者肾素 - 血管紧张素系统时应考虑的一个因素。

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