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清醒犬失神经支配性利尿和利钠作用的再研究。

Reinvestigation of denervation diuresis and natriuresis in conscious dogs.

作者信息

Sadowski J, Kurkus J, Gellert R

出版信息

Arch Int Physiol Biochim. 1979 Oct;87(4):663-72. doi: 10.3109/13813457909070527.

Abstract

The function of innervated and denervated kidney was compared in clearance studies with conscious dogs. The animals were prepared for experiments by unilateral renal denervation and surgical division of the bladder to form two hemibladders enabling separate urine collection from two kidneys. The mean urine flow was 6% higher for the denervated kidney (not significant) while mean differences for osmolar clearance (+ 13%), sodium excretion (+21%) and GFT (+5%) were all significant (P less than 0.05). When corrected to 100 ml GFR, sodium excretion was not significantly higher for the denervated kidney. In most experiments higher sodium excretion on the denefvated side was associated with higher GFR. Thus, contrary to some earlier views, a slight increase in the excretory function which follows denervation of the kidney is demonstrable also in conscious undisturbed animals. The data suggest that increased haemodynamics of the denervated kidney are responsible for higher excretion, but do not exclude a contribution of inhibited tubular reabsorption.

摘要

在清醒犬的清除率研究中,对有神经支配和去神经支配的肾脏功能进行了比较。通过单侧肾去神经支配和膀胱手术分离形成两个半膀胱,以便从两个肾脏分别收集尿液,从而使动物为实验做好准备。去神经支配的肾脏平均尿流高出6%(无显著差异),而渗透清除率(+13%)、钠排泄(+21%)和肾小球滤过率(+5%)的平均差异均具有显著性(P小于0.05)。当校正至100ml肾小球滤过率时,去神经支配的肾脏钠排泄并无显著升高。在大多数实验中,去神经支配侧较高的钠排泄与较高的肾小球滤过率相关。因此,与一些早期观点相反,在清醒未受干扰的动物中也可证明,肾脏去神经支配后排泄功能会有轻微增加。数据表明,去神经支配肾脏的血流动力学增加是排泄增加的原因,但不排除肾小管重吸收受抑制也有作用。

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