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在灌注石蜡油期间肾循环自动调节功能缺失。

Absence of renal circulatory autoregulation during perfusion with paraffin oil.

作者信息

Aizawa C, Waugh W H

出版信息

Blood Vessels. 1977 May;14(3):175-88. doi: 10.1159/000158124.

Abstract

Autoregulation of vascular flow as a function of arterial pressure was studied in isolated dog and rat kidneys, perfused serially with an oxygenated aqueous colloidal medium and with oxygenated paraffin oil. Square wave elevations in arterial pressure eleicited autoregulatory adjustments in flow within the first few seconds of elevated pressure during colloidal perfusion but not during oil perfusion of the same kidneys. Before oil perfusion, the steady state autoregulatory efficiency ratios (% flow change/% pressure change) over pressures ranging from 95 to 180 mm Hg averaged 0.37 +/- 0.13 and 0.51 +/- 0.16 (mean +/- SD) in dog and rat kidneys, respectively. During oil perfusion, the autoregulatory efficiency ratios exceeded 1.0 in every instance. Following oil perfusion, vasoactive autoregulation of colloidal perfusate flow returned, at very low organ flows. Our results do not confirm the previous findings of LEICHTWEISS, SCHRODER, and WEISS [Pflügers Arch. ges. Physiol. 293: 303 1967] concerning the presence of autoregulation during oxygenated renal oil perfusion. Our findings suggest that renal circulatory autoregulation is either primarily myogenic or else primarily dependent upon a rapidly acting tubulovascular feedback mechanism.

摘要

在分离的狗和大鼠肾脏中研究了血管流量作为动脉压函数的自动调节,这些肾脏先后用含氧的水性胶体介质和含氧的石蜡油进行灌注。在胶体灌注期间,动脉压的方波升高在压力升高的最初几秒内引起流量的自动调节调整,但在相同肾脏的油灌注期间则不会。在油灌注之前,狗和大鼠肾脏在95至180毫米汞柱压力范围内的稳态自动调节效率比(流量变化百分比/压力变化百分比)分别平均为0.37±0.13和0.51±0.16(平均值±标准差)。在油灌注期间,自动调节效率比在每种情况下都超过1.0。油灌注后,在非常低的器官流量下,胶体灌注液流量的血管活性自动调节恢复。我们的结果不支持LEICHTWEISS、SCHRODER和WEISS [《普弗吕格氏 Archiv für die gesamte Physiologie》293: 303 1967] 先前关于含氧肾油灌注期间存在自动调节的发现。我们的研究结果表明,肾循环自动调节要么主要是肌源性的,要么主要依赖于快速作用的肾小管血管反馈机制。

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