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麻醉犬离体肺动脉扩张对尿排泄的影响。

The effects upon urinary excretion of distension of the isolated pulmonary arteries in anaesthetized dogs.

作者信息

Kan W O, Ledsome J R

出版信息

Pflugers Arch. 1981 Sep;391(3):231-5. doi: 10.1007/BF00596176.

Abstract
  1. The experiments were carried out to determine whether localized pulmonary arterial distension caused changes in the renal excretion of water and solutes. 2. When pulmonary arterial pouch pressure was maintained constant at low pressure 0.5-1.6 KPa (4-12 mm Hg) urinary excretion of sodium remained relatively constant over a period of 110 min. 3. Increasing pulmonary arterial pouch pressure by 3.6 KPa (27 mm Hg) did not cause changes in systemic pressure or solute excretion. Increasing pulmonary arterial pouch pressure by 6.7 KPa (50 mm Hg) increased systemic arterial pressure and caused a small increase in sodium excretion. 4. In dogs prepared in similar fashion but with one kidney totally isolated and perfused at constant pressure, increasing pulmonary arterial pouch pressure by 9.3 KPa (70 mm Hg), increased systemic arterial pressure, osmolal clearance and solute excretion from the intact kidney. There were no changes in urinary excretion from the isolated perfused kidney. 5. The increase in solute excretion associated with pulmonary arterial distension is most likely to be due to haemodynamic effects on the kidney possible accompanied by changes in renal nerve activity.
摘要
  1. 进行这些实验是为了确定局部肺动脉扩张是否会引起水和溶质的肾脏排泄变化。2. 当肺动脉囊压力在0.5 - 1.6千帕(4 - 12毫米汞柱)的低压下保持恒定时,钠的尿排泄在110分钟内保持相对恒定。3. 肺动脉囊压力增加3.6千帕(27毫米汞柱)不会引起全身压力或溶质排泄的变化。肺动脉囊压力增加6.7千帕(50毫米汞柱)会增加全身动脉压,并使钠排泄略有增加。4. 在以类似方式制备但一个肾脏完全分离并在恒定压力下灌注的狗中,肺动脉囊压力增加9.3千帕(70毫米汞柱)会增加全身动脉压、渗透清除率和完整肾脏的溶质排泄。孤立灌注肾脏的尿排泄没有变化。5. 与肺动脉扩张相关的溶质排泄增加最可能是由于对肾脏的血流动力学影响,可能伴有肾神经活动的变化。

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