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单侧肾切除术后犬肾代偿性肥大的功能变化

Functional changes in compensatory hypertrophy of the canine kidney after uninephrectomy.

作者信息

Szöcs E, László K, Juszkó J, Bálint P

出版信息

Acta Physiol Acad Sci Hung. 1978;51(1-2):23-40.

PMID:754470
Abstract

Kidney weight and renal functional parameters were investigated in dogs 7 to 68 days after uninephrectomy. Average enlargement of the remaining kidney amounted to 35.1%. Renal blood flow (RBF) and glomerular filtration rate (GFR) calculated per 100 g actual kidney weight were identical in the non-hypertrophied controls and in the hypertrophied kidneys, i.e. structural and functional changes were strictly proportional. Calculation of mean nephron parameters (MNRBF and MNGFR) revealed an increase of about 43% in the hypertrophied kidneys, with an appropriate decrease in nephronal vascular resistance. The hypertrophied kidney showed an enhanced responsiveness to mannitol; increased MNRBF under stop flow conditions was due to a pronounced dilatation of the postglomerular vessels. There was no difference between control and hypertrophied kidneys in cortical zonal blood flow, as investigated by the labelled microsphere technique. Increase in parallel-connected cortical resistances towards the inner (juxtamedullary) zones was pronounced.

摘要

在单侧肾切除术后7至68天的犬类中研究了肾脏重量和肾功能参数。剩余肾脏的平均增大幅度达35.1%。按每100克实际肾脏重量计算,非肥大对照组和肥大肾脏的肾血流量(RBF)和肾小球滤过率(GFR)相同,即结构和功能变化严格成比例。平均肾单位参数(MNRBF和MNGFR)的计算显示,肥大肾脏中增加了约43%,肾单位血管阻力相应降低。肥大肾脏对甘露醇的反应性增强;停流条件下MNRBF增加是由于肾小球后血管明显扩张。通过标记微球技术研究发现,对照肾脏和肥大肾脏的皮质区血流量无差异。向内侧(近髓质)区域的并联皮质阻力明显增加。

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