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消炎痛对麻醉状态下急性容量扩张或未扩张大鼠肾内循环及钠水排泄的影响。

Effect of indomethacin on intrarenal circulation and sodium and water excretion in anaesthetised rats with or without acute volume expansion.

作者信息

Bartha J, Hably C

出版信息

Acta Physiol Acad Sci Hung. 1982;59(3):217-26.

PMID:7168342
Abstract

Effects of the prostaglandin synthesis inhibitor indomethacin (4 mg/kg) were studied on the intrarenal circulation of anaesthetised (pentothal 50 mg/kg i.p.) rats in normovolemia or subjected to acute extracellular volume expansion (intravenous infusion of 0.9% NaCl at a dose of 50 ml/kg) using Sapirstein's 86Rb indicator dilution technique. Circulatory parameters were determined one hour after indomethacin treatment. The following conclusions were drawn: 1. In normovolemic rats the renal, cortical and medullary blood flow remained unaltered. No changes occurred in regional vascular resistances of the kidney or in the distribution pattern of intrarenal blood flow. Water output was moderately reduced while sodium excretion remained unaffected. 2. In rats subjected to acute extracellular volume expansion renal cortical blood flow was slightly augmented, medullary perfusion rate declined; the intrarenal blood flow distribution was shifted towards the cortex. The vascular resistance in the cortex did not change whereas that in the medulla was slightly augmented. Under these conditions indomethacin did not influence salt and water excretion. Our results provide further evidence that unlike in anaesthetised dog, in the anaesthetised rat endogenous prostaglandins probably do not play a decisive role in the control of renal blood flow, intrarenal circulation and salt and water excretion.

摘要

采用萨皮尔斯坦(Sapirstein)的86Rb指示剂稀释技术,研究了前列腺素合成抑制剂吲哚美辛(4毫克/千克)对正常血容量或急性细胞外液量扩张(以50毫升/千克的剂量静脉输注0.9%氯化钠)的麻醉(腹腔注射硫喷妥钠50毫克/千克)大鼠肾内循环的影响。在吲哚美辛治疗1小时后测定循环参数。得出以下结论:1. 在正常血容量的大鼠中,肾、皮质和髓质血流量保持不变。肾脏的局部血管阻力或肾内血流分布模式未发生变化。尿量适度减少,而钠排泄不受影响。2. 在急性细胞外液量扩张的大鼠中,肾皮质血流量略有增加,髓质灌注率下降;肾内血流分布向皮质转移。皮质血管阻力未改变,而髓质血管阻力略有增加。在这些情况下,吲哚美辛不影响盐和水的排泄。我们的结果进一步证明,与麻醉犬不同,在麻醉大鼠中内源性前列腺素可能在肾血流、肾内循环以及盐和水排泄的控制中不发挥决定性作用。

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