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[遗传性高血压、正常血压和低血压大鼠早期肾脏病变的发展]

[Development of early kidney lesions in genetically hypertensive, normotensive and hypotensive rats].

作者信息

Blanc-Brunat N, Vincent M, Sassard J

出版信息

Paroi Arterielle. 1980;6(3):145-9.

PMID:7329708
Abstract

Morphological changes were studied in 3 different strains of rats genetically hypertensive (LH) normotensive (LN), or with low blood pressure (LL). Renal lesions were evaluated at 3, 5, 9, and 21 weeks of age, when blood pressure was significantly different between the 3 groups and the difference increased up to 21 weeks of age. Small histological changes could be detected in the LH groups as early as the fifth week (2 cases out of 8). However the differences between hypertensive rats and normo or hypotensive rats were obvious only at 9 weeks progressively increasing up to the 21th week. The juxta glomerular apparatus was mainly affected with hypertrophy and hyalinisation and hyaline deposits within the wall of the afferent arteriole and lacis cells. The lesions were constant although focal and of moderate intensity. They were frequently associated with segmental hyalinisation of the glomerulus and slight tubular and interstitial changes. The comparative study between three strains of rats shows that the renal vascular lesions appear early but after the onset of hypertension.

摘要

对3种不同品系的大鼠进行了形态学变化研究,这些大鼠分别为遗传性高血压(LH)、正常血压(LN)或低血压(LL)。在3、5、9和21周龄时评估肾脏病变情况,此时3组之间血压存在显著差异,且差异一直持续到21周龄。早在第5周时,在LH组中就可检测到轻微的组织学变化(8例中有2例)。然而,高血压大鼠与正常血压或低血压大鼠之间的差异仅在第9周时明显,且差异持续增大直至第21周。肾小球旁器主要受到影响,表现为肥大、玻璃样变,以及入球小动脉壁和球外系膜细胞内出现玻璃样沉积物。尽管病变呈局灶性且强度适中,但较为恒定。它们常伴有肾小球节段性玻璃样变以及轻微的肾小管和间质变化。对这3种品系大鼠的比较研究表明,肾脏血管病变出现较早,但在高血压发病之后。

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