López-Novoa J M, Rengel M A, Hernando L
Am J Physiol. 1980 May;238(5):F353-7. doi: 10.1152/ajprenal.1980.238.5.F353.
Renal function, sodium balance, and ascites formation were observed during induction in rats of experimental cirrhosis. The same variables were studied after partial removal of the ascites in rats with experimental cirrhosis. Glomerular filtration rate (GFR) and effective renal plasma flow (RPF) did not change during hepatic cirrhosis development. Positive sodium balance significantly higher than that observed in controls preceded the appearance of ascites for a period of about 2 wk. When the ascites was removed, GFR, RPF and positive Na balance did not change if Na intake remained constant. Ascites reformation rate was largely dependent on sodium balance. These data strongly support the "overflow" theory of ascites formation and are difficult to reconcile with the classical "underfilling" theory.
在诱导大鼠实验性肝硬化的过程中,观察了其肾功能、钠平衡和腹水形成情况。对实验性肝硬化大鼠部分放腹水后,对相同变量进行了研究。在肝硬化发展过程中,肾小球滤过率(GFR)和有效肾血浆流量(RPF)未发生变化。在腹水出现前约2周的时间里,钠正平衡显著高于对照组。当放腹水后,如果钠摄入量保持不变,GFR、RPF和钠正平衡不会改变。腹水再形成率在很大程度上取决于钠平衡。这些数据有力地支持了腹水形成的“溢流”理论,难以与经典的“充盈不足”理论相协调。