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肺淋巴梗阻对兔尿流的影响。

Effect of pulmonary lymphatic obstruction on rabbit urine flow.

作者信息

Ravi K, Bravo M, Kappagoda C T

机构信息

Division of Cardiovascular Medicine, University of California, Davis 95616, USA.

出版信息

J Physiol. 1997 Dec 15;505 ( Pt 3)(Pt 3):833-40.

Abstract
  1. The effects of pulmonary lymphatic obstruction on urine flow, sodium and potassium excretion were examined on anaesthetized, artificially ventilated New Zealand White rabbits. Pulmonary lymphatic obstruction was produced by raising the pressure in a pouch created from the right external jugular vein. The experiments were performed on two groups of rabbits (non-hydrated and hydrated). 2. Pulmonary lymphatic obstruction caused a significant increase in urine flow in both groups of rabbits. After release of the obstruction, the urine flow returned to basal values. Urine flow (ml (10 min)-1) for both groups was initial control, 5.3 +/- 0.9; lymphatic obstruction, 8.9 +/- 1.0; final control, 6.2 +/- 0.7 (means +/- S.E.M.; n = 21, P < 0.025). 3. The increase in urine flow was not accompanied by significant changes in concentration of sodium and potassium in urine. Sodium excretion increased significantly only in the hydrated rabbits. 4. The increase in urine flow was abolished by bilateral cervical vagotomy and by renal nerve sectioning. Cooling the cervical vagi to 8 degrees C also abolished the response. 5. Pulmonary lymphatic obstruction did not produce any significant change in heart rate, mean arterial blood pressure, mean right atrial pressure and peak airway pressure. 6. These findings suggest that obstructing the lymph drainage from the lung results in a reflex increase in urine flow. The afferent pathway for this reflex resides in the myelinated fibres of the vagi and the efferent pathway in the renal nerves. The rapidly adapting receptors of the airways are likely to be the receptors involved.
摘要
  1. 在麻醉并人工通气的新西兰白兔身上,研究了肺淋巴梗阻对尿流量、钠和钾排泄的影响。通过升高由右颈外静脉制成的囊袋内压力来造成肺淋巴梗阻。实验在两组兔子(未补水组和补水组)身上进行。2. 肺淋巴梗阻使两组兔子的尿流量均显著增加。梗阻解除后,尿流量恢复至基础值。两组的尿流量(毫升/(10分钟)-1)分别为:初始对照,5.3±0.9;淋巴梗阻时,8.9±1.0;最终对照,6.2±0.7(平均值±标准误;n = 21,P < 0.025)。3. 尿流量增加并未伴随尿中钠和钾浓度的显著变化。仅在补水的兔子中钠排泄显著增加。4. 双侧颈迷走神经切断术和肾神经切断术可消除尿流量增加。将颈迷走神经冷却至8摄氏度也可消除该反应。5. 肺淋巴梗阻对心率、平均动脉血压、平均右心房压力和气道峰值压力均未产生任何显著变化。6. 这些发现表明,阻断肺淋巴引流会导致尿流量反射性增加。该反射的传入途径存在于迷走神经的有髓纤维中,传出途径存在于肾神经中。气道的快速适应感受器可能是参与其中的感受器。

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