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出球小动脉在浅表肾单位肾小球血流动力学中的作用。

Role of the efferent arteriole in glomerular hemodynamics of superficial nephrons.

作者信息

Andreucci V E, Dal Canton A, Corradi A, Stanziale R, Migone L

出版信息

Kidney Int. 1976 Jun;9(6):475-80. doi: 10.1038/ki.1976.61.

Abstract

Hemodynamic pressure in glomerular capillaries (GCP) and in first order peritubular capillaries (EAP) in superficial nephrons of mutant Wistar rats with surface glomeruli was measured by micropuncture with a servo-nulling device in the following conditions: 1) control;2) norepinephrine infusion (NE); 3) epinephrine infusion (E): 4) dopamine infusion (D); 5) hemorrhagic hypotension (HH); 6) HH + NE; 7) HH + E; 8) HH + D; 9) acute hypertension secondary to bilateral cervical vagotomy and occlusion of both common carotid arteries. BP was also recorded. Both GCP/BP and EAP/GCP ratios averaged 0.40 in control conditions, but only the EAP/GCP ratio remained constant in all conditions under study, indicating that approximately 60% of the hydrostatic pressure in glomerular capillaries is constantly dissipated by the efferent arteriole. When all values of EAP were plotted against the respective values of GCP, a liner relationship was detected (r=0.843). These results indicate that changes of pressure in the first order peritubular capillaries of superficial nephrons are merely secondary to changes in glomerular capillary pressure.

摘要

采用带有伺服归零装置的微穿刺技术,在以下条件下测量了具有浅表肾小球的突变Wistar大鼠浅表肾单位的肾小球毛细血管(GCP)和一级肾小管周围毛细血管(EAP)中的血流动力学压力:1)对照;2)去甲肾上腺素输注(NE);3)肾上腺素输注(E);4)多巴胺输注(D);5)出血性低血压(HH);6)HH + NE;7)HH + E;8)HH + D;9)双侧颈迷走神经切断术和双侧颈总动脉闭塞继发的急性高血压。同时记录血压。在对照条件下,GCP/BP和EAP/GCP比值平均为0.40,但在所有研究条件下只有EAP/GCP比值保持恒定,这表明肾小球毛细血管中约60%的静水压力不断被出球小动脉消散。当将所有EAP值与各自的GCP值绘制在一起时,检测到线性关系(r = 0.843)。这些结果表明,浅表肾单位一级肾小管周围毛细血管压力的变化仅仅是肾小球毛细血管压力变化的继发结果。

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