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Relationship of Sodium Reabsorption and Glomerular Filtration Rate to Renal Glucose Reabsorption

机译:钠重吸收和肾小球滤过率与肾脏葡萄糖重吸收的关系

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摘要

Glucose reabsorption was measured in dogs in which sodium reabsorption was stimulated by obstruction of the thoracic inferior vena cava or inhibited by volume expansion with Ringer's lactate. Glucose reabsorption was much higher during periods of enhanced sodium reabsorption than during sodium diuresis. The relationship of glucose reabsorption to glomerular filtration rate was examined using data from animals that had fractional sodium excretion rates of less than 1%. Under this condition the relationship of glucose reabsorption to glomerular filtration rate is highly linear. When points obtained during sodium diuresis (CNa/GFR>0.1) are plotted on the same graph, glucose reabsorption at any given glomerular filtration rate is much less than during antidiuresis. Glucose reabsorption divided by glomerular filtration rate varies inversely with fractional sodium excretion. This study demonstrates that glomerular tubular balance for glucose exists in the dog and that this balance is changed when sodium reabsorption changes.
机译:在狗中测量了葡萄糖的重吸收,其中钠的重吸收是由于胸下腔静脉阻塞而引起的,或者是由于林格氏乳酸盐的体积膨胀所抑制的。钠吸收增加期间,葡萄糖的吸收比钠利尿期间高得多。使用钠排泄率小于1%的动物数据检查了葡萄糖的重吸收与肾小球滤过率的关系。在这种条件下,葡萄糖的重吸收与肾小球滤过率的关系呈高度线性关系。当在利尿钠过程中获得的点(CNa / GFR> 0.1)绘制在同一张图上时,在任何给定的肾小球滤过率下,葡萄糖的重吸收都比抗利尿过程中的少。葡萄糖的重吸收除以肾小球滤过率与钠排泄分数成反比。这项研究表明狗中存在葡萄糖的肾小球肾小管平衡,并且当钠重吸收改变时,这种平衡也会改变。

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