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Effect of saline infusions on intrarenal distribution of glomerular filtrate and proximal reabsorption in the dog

机译:盐水注入对犬肾小球滤过肾内分布和近端重吸收的影响

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摘要

The effect of acute extracellular volume expansion with saline on the intrarenal distribution of glomerular filtrate, was studied in dogs utilizing micropuncture techniques in which samples were obtained by both recollection and from new tubules.Recollection was examined in seven dogs during continuous hydropenia and in five dogs during continuous saline diuresis. Recollection was associated with an increase in nephron flow rate of 8% during hydropenia and 27% during saline diuresis. In addition, during continuous saline diuresis, shortened transit times and lowered intratubular pressures were recorded in previously punctured tubules. Despite increased tubular flow, fractional reabsorption was unchanged.Nephron glomerular filtration rates (gfr) were measured during hydropenia and then after acute volume expansion in 10 dogs. In the repunctured tubules gfr rose 38% more than total glomerular filtration rate (GFR). In contrast, when new tubules were punctured during volume expansion, nephron gfr and total GFR changed proportionately. The disproportionate rise in nephron gfr after volume expansion noted with the recollection technique appears to be artifactual when contrasted to micropuncture of new tubules. With acute volume expansion, fractional reabsorption decreased 15% in recollected samples and 16% in newly sampled tubules. Increased nephron gfr cannot account for the fall in fractional reabsorption. It is concluded that in dogs, saline diuresis is not associated with redistribution of filtrate from deep to superficial nephrons, and that the fall in proximal fractional reabsorption is caused by diminished absolute reabsorption.
机译:用微穿刺技术研究了用盐水急性扩张的细胞外体积对肾小球内肾分布的影响,该技术通过收集和从新的肾小管中获取样本,在连续性水培期间对7只狗和5只狗进行了检查。在持续的利尿过程中。回忆与水质减少期间肾单位流量增加8%和生理盐水利尿期间增加27%有关。另外,在持续的盐水利尿期间,在先前刺穿的小管中记录了缩短的转运时间和降低的管内压。尽管肾小管流量增加,但分数重吸收仍未改变。在10只狗的水培期间和急性容量增加后,测定其肾小球肾小球滤过率(gfr)。在穿刺的肾小管中,gfr比总肾小球滤过率(GFR)高38%。相反,当在体积扩大过程中穿刺新的肾小管时,肾单位gfr和总GFR会成比例地变化。与微管注射新肾小管相比,用回收技术注意到的体积扩大后,肾单位gfr的不成比例上升似乎是人为的。随着体积的急剧增加,在重新采样的样本中,分数重吸收减少了15%,在新采样的小管中,分数重吸收减少了16%。肾单位gfr增加不能解释分数重吸收的下降。结论是,在犬中,盐水利尿与滤液从深部肾单位到表浅肾单位的重新分配无关,并且近端部分重吸收的下降是由绝对重吸收减少引起的。

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