Ackermann U
Am J Physiol. 1978 Dec;235(6):H670-6. doi: 10.1152/ajpheart.1978.235.6.H670.
The correlation among cardiac output (CO), glomerular filtration rate (GFR), fractional tubular sodium rejection (TFRNa), and renal excretion rates of water and salt was investigated during ischemic blood volume expansion in rats. Initially circulating blood volume was equilibrated isovolemically with a reservoir volume of 6% albumin solution equal to one-third the estimated blood volume. Later the equilibrated reservoir contents were infused intravenously. CO was measured by thermodilution, GFR by inulin clearance. Significant linear correlations existed between GFR and the rates of urine flow (r = 0.90), sodium excretion (r = 0.75) and potassium excretion (r = 0.76) that prevailed 5--10 min after a given GFR change. The increased GFR was highly correlated with CO (r = 0.94), probably correlated with mean central venous pressure (r = 0.45), but not correlated with mean abdominal aortic blood pressure. The correlation between CO and time-delayed (5--10 min) TRFNa was also highly significant (r = 0.98). The saluresis appears to have been caused initially by increased tubular load and subsequently by decreased absolute tubular reabsorption.
在大鼠缺血性血容量扩张期间,研究了心输出量(CO)、肾小球滤过率(GFR)、肾小管钠排泄分数(TFRNa)以及水和盐的肾排泄率之间的相关性。最初,循环血容量与相当于估计血容量三分之一的6%白蛋白溶液储备量进行等容平衡。随后,将平衡后的储备液内容物静脉输注。通过热稀释法测量CO,通过菊粉清除率测量GFR。在给定GFR变化后5-10分钟时,GFR与尿流率(r = 0.90)、钠排泄率(r = 0.75)和钾排泄率(r = 0.76)之间存在显著的线性相关性。GFR升高与CO高度相关(r = 0.94),可能与平均中心静脉压相关(r = 0.45),但与平均腹主动脉血压无关。CO与延迟(5-10分钟)的TFRNa之间的相关性也非常显著(r = 0.98)。盐利尿似乎最初是由肾小管负荷增加引起的,随后是由于绝对肾小管重吸收减少所致。