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肾素-血管紧张素系统对肾血流自身调节及肾内血流动力学的影响(作者译)

[The influence of the renin-angiotensin system on autoregulation of renal blood flow and intrarenal hemodynamics (author's transl)].

作者信息

Brech W J

出版信息

Klin Wochenschr. 1976 Mar 15;54(6):245-54. doi: 10.1007/BF01468919.

Abstract

The discussion of renal hemodynamics has to include three phenomena: the autoregulation of renal blood flow, the existence of different intrarenal perfusion compartments, and the intrarenal renin-angiotensin-system. The autoregulation of renal blood flow is characterized by the constancy of renal blood flow inspite of a wide range of renal perfusion pressure (70-220 mm Hg). This is due to the ability of the kidney to adjust vascular resistance to pressure changes. Renal perfusion is not homogenous but consists of different perfusion compartments which may be distinguished according to characteristic anatomy, function and innervation. Autoregulation of renal blood flow and distribution of intrarenal perfusion to different compartments are interdependent and are shown to be both under the control of an intrarenal "local" renin-angiotensin system.

摘要

对肾血流动力学的讨论必须涵盖三种现象

肾血流量的自身调节、肾内不同灌注区的存在以及肾内肾素-血管紧张素系统。肾血流量的自身调节特点是,尽管肾灌注压在较大范围内变动(70 - 220毫米汞柱),肾血流量仍保持恒定。这是因为肾脏有能力根据压力变化调节血管阻力。肾灌注并非均匀一致,而是由不同的灌注区组成,这些灌注区可根据其特征性的解剖结构、功能和神经支配来区分。肾血流量的自身调节以及肾内灌注在不同区域的分布是相互依存的,并且都受肾内“局部”肾素-血管紧张素系统的控制。

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