Vascular spasms in the kidneys occurring in the organism premortally and under warm ischemia.
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Biomedical subjects
Publications and source records attributed to Z Ondrácek.
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The optimal pressure in the renal artery during initial perfusion with Collins' solution by spontaneous pressure in canine kidneys is 40-50 cm H2O and in human kidneys 40-60 cm H2O. An average-sized human kidney can be perfused by a full current which is limited only by the lumen of the infusion set. In smaller than average-sized human kidneys the current must be reduced to diminish the pressure in the renal artery to the optimal value. In prolonged hypothermal perfusion by means of a Gambro apparatus it will be necessary to assess the optimal pressure by direct measurement in the renal artery in intact average-sized human kidneys because the pressure reading on the manometer is not identical with the optimal pressure in the renal artery.
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In 8 dogs simultaneous orthotopic liver allotransplantation and external drainage were performed. During and after surgery lymph and blood plasma were examined. The lymph flow increased considerably, due to blood stasis in the gut. Concentrations of total protein and potassium decreased in blood and in lymph. Levels of glucose and lactate in lymph were significantly elevated, compared with plasma levels. Examination of thoracic duct lymph improves the possibilities to assess the blood stasis in the splanchnic system and the corresponding metabolic cell alterations. It is presumed that external drainage of thoracic duct might improve the course immediately after liver transplantation.
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