盐剥夺性肾性高血压大鼠高血压的决定因素:血浆容量、细胞外液容量和血浆血管紧张素II变化的作用

A J Mourant
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引用次数: 14

摘要

1. 留置主动脉导管和右心房导管的大鼠在肾动脉收缩联合对侧肾切除术前后维持无钠饮食。除了使用非收缩夹子外,对照动物也采用了相同的方案。2. 无盐动物的血浆容量低于先前自由获取钠的动物的测定值。剪断后高血压动物血浆容量增加。仅在术后第二天,正常和高血压动物的细胞外液量均增加。3.夹取和对侧肾切除术前血浆血管紧张素II值高于正常值。术后血管紧张素II浓度在14天内降至正常水平,实验组与对照组之间无显著差异。4. 由此得出结论,剪接后的高血压可能部分是由血浆容量的增加维持的。然而,结果强烈表明,其他肾脏机制可能是重要的致病因素。
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Determinants of high blood pressure in salt-deprived renal hypertensive rats: role of changes in plasma volume, extracellular fluid volume and plasma angiotensin II.

1. Rats with indwelling aortic and right atrial cannulae were maintained on a sodium-free diet before and after renal arterial constriction combined with contralateral nephrectomy. Control animals underwent the same protocol except that non-constricting clips were used. 2. Plasma volumes in the salt-deprived animals were lower than previously determined values in animals with free access to sodium. After clipping plasma volume increased in the hypertensive animals. Extracellular fluid volume was increased equally in both normotensive and hypertensive animals on the second postoperative day only. 3. Before clipping and contralateral nephrectomy plasma angiotensin II values were higher than normal. After the operation angiotensin II concentrations fell to normal over a period of 14 days without significant differences between experimental and control groups. 4. It is concluded that high blood pressure after clipping may be in part maintained by increases in plasma volume. However, the results strongly suggest that other renal mechanisms are likely to be of major pathogenic importance.

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