Drake-Holland A J, Song G, Belcher P R, Noble M I
Academic Unit of Cardiovascular Medicine, Charing Cross and Westminster Medical School, Charing Cross Hospital, London, UK.
Exp Physiol. 1996 Mar;81(2):285-95. doi: 10.1113/expphysiol.1996.sp003932.
The influence of renal denervation on the renal response to rapid blood volume expansion was investigated by measurement of urine volume, sodium and osmolar excretion rates, sodium p-aminohippurate and free water clearances, and systemic haemodynamic and plasma hormone (atrial natriuretic peptide, arginine vasopressin and plasma renin activity (PRA)) changes in ten control and ten renal-denervated chloralose-anaesthetized mongrel dogs. Following renal denervation, blood volume expansion caused a similar increase in sodium excretion to that in the control group. Renal denervation resulted in systemic vasodilatation and decreased PRA. During fluid loading the right atrial pressure and pulmonary capillary wedge pressure were significantly higher in the control group. In the control group, volume expansion caused a large fall in PRA, whereas in the renal-denervated dogs, PRA remained suppressed. We conclude, from the fact that natriuresis is preserved after renal denervation, that this response is not mediated by a reflex with efferent limb in the renal nerves.
通过测量十只对照犬和十只肾去神经支配的、用氯醛糖麻醉的杂种犬的尿量、钠和渗透压排泄率、对氨基马尿酸钠和自由水清除率,以及全身血流动力学和血浆激素(心钠素、精氨酸加压素和血浆肾素活性(PRA))变化,研究了肾去神经支配对肾脏对快速血容量扩张反应的影响。肾去神经支配后,血容量扩张引起的钠排泄增加与对照组相似。肾去神经支配导致全身血管舒张和PRA降低。在补液期间,对照组的右心房压力和肺毛细血管楔压明显更高。在对照组中,容量扩张导致PRA大幅下降,而在肾去神经支配的犬中,PRA仍受到抑制。从肾去神经支配后钠利尿作用得以保留这一事实,我们得出结论,这种反应不是由肾神经中具有传出支的反射介导的。