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大鼠腹膜的渗透屏障特性。

Osmotic barrier properties of the rat peritoneal membrane.

作者信息

Zakaria E R, Rippe B

机构信息

Department of Nephrology, University Hospital of Lund, Sweden.

出版信息

Acta Physiol Scand. 1993 Nov;149(3):355-64. doi: 10.1111/j.1748-1716.1993.tb09631.x.

Abstract

In this study the osmotic barrier characteristics of the rat peritoneal membrane were investigated. Fluid movements between the peritoneal cavity and the blood were measured following instillation of isotonic saline (control) and hypertonic solutions of NaCl, glucose, sucrose, raffinose and myoglobin (test solutions). Moreover, 5 and 8% albumin in NaCl were investigated. Osmotic transients were assessed using a simple volume recovery technique. Peritoneal osmotic conductances (i.e. products of peritoneal hydraulic conductances [LpS] and solute reflection coefficients [sigma]) were calculated from the differences in the rates of peritoneal fluid loss and in osmotic pressures between test solutions and the isotonic saline control solution. The osmotic conductance to glucose was estimated to be 1.63 microliters min-1 mmHg-1 m-2 and that for albumin to be 59.6 microliters min-1 mmHg-1 m-2. Assuming an albumin sigma of 0.9, the sigma of glucose was estimated to be 0.025, in accordance with previous measurements for the cat peritoneal membrane. The osmotic conductances assessed here were compatible with an 'overall' peritoneal equivalent small pore radius of 47-48 A, but could also be fitted to a three-pore model of peritoneal permselectivity, including a transcellular (ultra-small pore) pathway and a large pore pathway. The great discrepancy between peritoneal sigma for small solutes and that for albumin obtained in this study indicates that small solute reflection coefficients are close to zero while that for albumin is not far from unity. Furthermore, the peritoneal hydraulic conductance (ultrafiltration coefficient) is large enough to allow for a substantial absorption of fluid directly into the plasma when the crystalloid osmotic pressures in blood and peritoneal dialysate are in equilibrium.

摘要

在本研究中,对大鼠腹膜的渗透屏障特性进行了研究。在注入等渗盐水(对照)以及NaCl、葡萄糖、蔗糖、棉子糖和肌红蛋白的高渗溶液(测试溶液)后,测量了腹膜腔与血液之间的液体流动。此外,还研究了NaCl中5%和8%的白蛋白。使用一种简单的体积恢复技术评估渗透瞬变。腹膜渗透传导率(即腹膜水力传导率[LpS]与溶质反射系数[sigma]的乘积)由测试溶液与等渗盐水对照溶液之间腹膜液丢失速率和渗透压的差异计算得出。葡萄糖的渗透传导率估计为1.63微升·分钟⁻¹·毫米汞柱⁻¹·平方米⁻²,白蛋白的渗透传导率估计为59.6微升·分钟⁻¹·毫米汞柱⁻¹·平方米⁻²。假设白蛋白的sigma为0.9,根据先前对猫腹膜的测量,葡萄糖的sigma估计为0.025。此处评估的渗透传导率与“整体”腹膜等效小孔半径为47 - 48埃相符,但也可拟合到腹膜选择性通透的三孔模型,包括跨细胞(超小孔)途径和大孔途径。本研究中获得的腹膜对小溶质的sigma与对白蛋白的sigma之间的巨大差异表明,小溶质的反射系数接近零,而白蛋白的反射系数接近1。此外,当血液和腹膜透析液中的晶体渗透压平衡时,腹膜水力传导率(超滤系数)足够大,能够使大量液体直接吸收进入血浆。

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