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Chapter 29

The Urinary System

泌尿系统简介
泌尿系统简介
The urinary system, or renal system, has four main components — the kidneys, ureters, urinary bladder, and urethra. The kidneys are a pair of ...
肾脏的外部解剖结构
肾脏的外部解剖结构
The kidneys are located at the T12 to L3 vertebrae and partly protected by the eleventh and twelfth ribs. A kidney typically measures about 10 to 12 cm in ...
肾脏内部解剖
肾脏内部解剖
In the frontal section, the kidney shows the renal cortex, renal medulla, and renal pelvis. The outermost layer — the renal cortex — is ...
肾脏的血液和神经供应
肾脏的血液和神经供应
The segmental arteries branch out, supplying different kidney regions. These segmental arteries branch off and pass through the renal columns as ...
肾单位
肾单位
A nephron is the functional unit of the kidney. It comprises two main parts — the renal corpuscle and renal tubule. The renal corpuscle, where blood ...
肾小体
肾小体
The renal corpuscle comprises a cluster of capillaries known as the glomerulus and the glomerular or Bowman's capsule that encloses the glomerulus. ...
肾小管和集合管
肾小管和集合管
The nephron measures approximately 3 cm and consists of the proximal convoluted tubule, loop of Henle, and distal convoluted tubule. The proximal ...
尿液形成的生理学
尿液形成的生理学
The formation of urine involves three steps —  glomerular filtration, tubular reabsorption, and tubular secretion. Glomerular filtration occurs ...
肾小球滤过
肾小球滤过
During glomerular filtration, blood plasma is pushed through the pores of a filtration membrane. The glomerular capillaries and podocytes together form ...
肾小球滤过:净过滤压力
肾小球滤过:净过滤压力
Glomerular filtration depends on three main pressures: glomerular blood hydrostatic pressure or GBHP, capsular hydrostatic pressure or CHP, and blood ...
肾小球滤过率及其调节
肾小球滤过率及其调节
The glomerular filtration rate or GFR is the volume of filtrate formed per minute by the glomeruli. Any changes in the local blood pressure and flow can ...
肾小管重吸收和分泌
肾小管重吸收和分泌
Tubular reabsorption occurs along the length of the renal tubules and collecting ducts. This process returns water and solutes from the filtrate to the ...
PCT 中的重吸收和分泌
PCT 中的重吸收和分泌
The proximal convoluted tubules, or PCTs, reabsorb most filtered water, ions, glucose, and amino acids. Sodium ion transport is a critical process in the ...
Henle 袢中的重吸收和分泌
Henle 袢中的重吸收和分泌
The thick ascending limb of the nephron loop has Na+–K+–2Cl− symporters in the apical membranes of its cells. These symporters ...
DCT 和集合管中的重吸收和分泌
DCT 和集合管中的重吸收和分泌
The early part of the distal convoluted tube, or DCT, reabsorbs around 10 to 15% of the filtered water and 5% of the filtered sodium and chloride ions. ...
尿液:物理和化学性质
尿液:物理和化学性质
Urine is mostly water, which makes up around 95% of its volume. The remaining 5% consists of different solutes. Urea, a byproduct of amino acid breakdown, ...
稀释尿液的形成
稀释尿液的形成
The kidney's juxtamedullary nephrons produce dilute urine when the fluid intake is high. In the renal cortex, the osmolarity of the interstitial fluid ...
浓缩尿液的形成
浓缩尿液的形成
There is a medullary osmotic gradient of solutes in the interstitial fluid from the renal cortex through the medulla. This gradient is established and ...
肾脏清除率
肾脏清除率
The glomerular filtration rate is an effective metric for assessing kidney function. One way of measuring GFR is by calculating renal clearance. Renal ...
输尿管
输尿管
Ureters are retroperitoneal tubes on either side of the vertebral column that transport urine from each kidney to the urinary bladder. They have thick ...
膀胱
膀胱
The urinary bladder is a hollow, muscular sac that temporarily stores about 600 mL of urine before micturition.  It is retroperitoneally situated on ...
排尿反射
排尿反射
Micturition or urination primarily involves coordination between the bladder detrusor muscle and two sphincters to control bladder emptying. It is ...
尿道
尿道
The urethra is a tube-like structure extending from the lower end of the urinary bladder to the external opening for releasing urine out of the body. In ...
透析
透析
Renal failure is classified as acute when the glomerular filtration rate or GFR suddenly drops below 15 mL/min or ceases entirely. In contrast, a gradual ...
泌尿系统疾病
泌尿系统疾病
Urinary system disorders can arise from infections, stress, age, congenital abnormalities, and lifestyle. Urinary tract infections are typically caused by ...
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