Källskog O, Lindbrom L O, Ulfendahl H R, Wolgast M
Pflugers Arch. 1976 Jun 22;363(3):205-10. doi: 10.1007/BF00594602.
The pressure conditions at the distal end of the interlobular arteries and in the interlobular veins were investigated from the pressures obtained in superficial small arteries and veins, accidentally found on the kidney surface, during the subsequent blockade of the blood stream in the down-stream and up-stream direction, respectively. The results suggested a hydrostatic pressure in the distal end of the interlobular arteries of about 85 mm Hg under normotensive conditions-a pressure which remained fairly constant when the perfusion pressure in the renal artery was decreased within the autoregulation range. The results indicate a considerable pressure drop of about 40 mm Hg along the interlobular arteries. During hypotension this pressure drop decreased, implying a decreased resistance in the interlobular arteries, i.e. a typical autoregulative response. The pressure in the interlobular veins amounted to about 5 mm Hg, which is a few mm Hg higher than that in the renal vein and about 7 mm lower than that in the peritubular capillary network. The results suggest a flow resistance located somewhere between the peritubular capillaries and the intrarenal veins. This resistance is not influenced by vasoactive substances but it is decreased when the systemic venous pressure is raised above 10 mm Hg. The resistance seems to act in the direction of protecting the peritubular capillaries from minor changes in the central venous pressure.
分别在下游和上游方向阻断血流期间,从意外发现于肾表面的浅表小动脉和静脉所测得的压力,对小叶间动脉远端和小叶间静脉的压力状况进行了研究。结果表明,在正常血压条件下,小叶间动脉远端的流体静压约为85 mmHg,当肾动脉灌注压在自身调节范围内降低时,该压力保持相当恒定。结果表明,沿小叶间动脉存在约40 mmHg的显著压力降。在低血压期间,这种压力降减小,这意味着小叶间动脉的阻力降低,即典型的自身调节反应。小叶间静脉的压力约为5 mmHg,比肾静脉中的压力高几 mmHg,比肾小管周围毛细血管网中的压力低约7 mmHg。结果表明,在肾小管周围毛细血管和肾内静脉之间的某处存在流动阻力。这种阻力不受血管活性物质的影响,但当全身静脉压升高到10 mmHg以上时,阻力会降低。该阻力似乎起到保护肾小管周围毛细血管免受中心静脉压微小变化影响的作用。