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高血压时肾上腺皮质球状带及醛固酮分泌的变化 被引量:1

Changes of the Zona Glomerulosa of the Adrenal Cortex and the Serum Aldosterone Level in Hypertension
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摘要 用大鼠分三组进行实验:(1)主动脉狭窄组;(2)巯甲丙脯酸—主动脉狭窄组;(3)正常对照组。术后4周检查,颈动脉平均血压:(1)明显升高,(2)亦升高。血浆肾素、血管紧张素及醛固酮水平:(1)均有升高;(2)肾素升高,血管紧张素Ⅱ及醛固酮降低。肾上腺重量:(1)明显增加;肾上腺皮质球状带细胞体视学参数多数显示(1)比(3)增加,(2)则减少。上述结果表明肾素—血管紧张素—醛固酮系统在腹主动脉狭窄性高血压形成中起作用。 Wistar rats were divided into 3 groups. (1) Rats with coarctation of the abdominal aorta (n=25); (2) coarcted rats treated with captoril, an inhibitor of angiotensin II converting enzyme (3mg/kg B W, bid. by gastric instilation) (n=26), (3) normal controls (n=25). 4 weeks latter, the rats were studied. The carotid blood pressure in group 1 and group 2 were markedly elevated as compared to the normal controls (20.5±0.3, l9.1±0.4, 16.1.±3 kPa respectively, p<0.01). The serum renin, angiotensin II and aldosterone in Group 1 showed a tendency to elevate while in Group 2, the renin activity increased, the angiotensin II and aldosterone levels decreased, The weight of the adrenal gand increased markedly in Group 1(26.82±7.99 mg/100g B W), and less markedly in Group 2 (21.13±6.07) as compared to the normal controls (18.77±5.65. P<0.05). Morphometric study of the zona glomerulosa showed increased cell density per volume in Group 1 and decreased in Group 2. The results suggest that the renin-angiotensin-aldosterone system do play an important role in coarctation hypertension, and perhaps in other forms of hypertension.
出处 《贵阳医学院学报》 CAS 1991年第2期88-91,共4页 Journal of Guiyang Medical College
关键词 高血压 肾上腺 醛固酮 hypertension,renovascular renin-angiotensin system adrenal cortex aldosterone captopril
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  • 1白人驹 综述.肾上腺病变的CT诊断[J].国外医学:临床放射学分册,1987,1:15-15.
  • 2顾碧云,马平恩,刘湘,朱耀国,潘紫珍.高血压病Ⅱ期肾上腺形态的改变[J].人民军医,1997,40(2):95-96. 被引量:1
  • 3Paul M, Copdand MD. The incidentally dicovered adrenal mass: an update. The Endocrinologist, 1999,9 : 415-423.
  • 4Wolfgang R, Wolfgang R, Civ E, et al. Pheochromocytoma with normal urinary and plasma catecholamines hut elevated plasma free metanephrines in a patient with adrenal incidetalome. The Endocrinologist, 2000 : 10 : 65-68.
  • 5Kolbel F. Reflection on what makes the heart grow. In: Dhalla M. ed. Advances in myocardiology. New York: Plenum, 1982 : 253.
  • 6Jonathans, Moulton, Jeffreys, et al. CT of the adrenal glands. Semin Roentgenol, 1988,23:288.
  • 7张立,张永康,王国民,周康荣.肾上腺肿瘤影像学检查的临床应用价值(附102例分析)[J].临床放射学杂志,1999,18(9):536-540. 被引量:29

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