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麻醉犬中肾素分泌对容量耗竭的敏感性:尿液引流与缓慢出血的比较。

Sensitivity of renin secretion to volume depletion in the anaesthetized dog: comparison between urinary drainage and slow haemorrhage.

作者信息

Bertoncello I, Naughton R J, Skinner S L

出版信息

J Physiol. 1976 Jul;259(2):309-24. doi: 10.1113/jphysiol.1976.sp011467.

Abstract
  1. An experimental technique utilizing 'denervation diuresis' from one kidney with measurement of renin release from the contralateral innervated kidney was developed to study the sensitivity of renin secretion to volume depletion. 2. With urine excretion, release of renin increased progressively from the innervated kidney. The increase was significant at a sodium deficit of 0-23 mole.kg-1. At a sodium deficit of 0-6 m-mole.kg-1 renin release had doubled. 3. Bilateral vagotomy did not alter this response. 4. Precise replacement of sodium loss with isotonic saline but without replacement of other urinary components returned renin release to control levels. 5. Slow haemorrhage causing a rate of volume and sodium loss equivalent to urinary drainage did not alter the rate of renin release. 6. With a single denervated kidney and contralateral nephrectomy, renin release fell progressively to minimal levels despite sodium deficits up to 2-6 m-mole.kg-1. 7. It is concluded that renin secretion is sensitive to at most a 0-5% change in body fluid volume and should be considered a primary response to volume depletion. The sensitivity of the response depends upon normal renal innervation but is not mediated via vascular volume receptors nor via receptors innervated by the vagus. 8. It is proposed that the extreme sensitivity of the renin-secreting system in these experiments results from the combination of volume depletion and slight hypotonicity of extracellular fluid acting on the renal afferent arteriole without the mediation of the macula densa,
摘要
  1. 开发了一种实验技术,利用一侧肾脏的“去神经利尿”并测量对侧受神经支配肾脏的肾素释放,以研究肾素分泌对容量耗竭的敏感性。2. 随着尿液排泄,受神经支配肾脏的肾素释放逐渐增加。在钠缺乏0 - 23毫摩尔·千克⁻¹时增加显著。在钠缺乏0 - 6毫摩尔·千克⁻¹时肾素释放增加了一倍。3. 双侧迷走神经切断术并未改变这种反应。4. 用等渗盐水精确替代钠丢失但不替代其他尿液成分可使肾素释放恢复到对照水平。5. 缓慢出血导致的容量和钠丢失速率与尿液引流相当,并未改变肾素释放速率。6. 对于单个去神经支配的肾脏和对侧肾切除术,尽管钠缺乏高达2 - 6毫摩尔·千克⁻¹,肾素释放仍逐渐降至最低水平。7. 得出的结论是,肾素分泌对体液量最多0 - 5%的变化敏感,应被视为对容量耗竭的主要反应。该反应的敏感性取决于正常的肾神经支配,但不是通过血管容量受体介导,也不是通过迷走神经支配的受体介导。8. 有人提出,在这些实验中肾素分泌系统的极端敏感性是由于容量耗竭和细胞外液轻度低渗共同作用于肾入球小动脉,而没有致密斑的介导。

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