Ackermann U
Pflugers Arch. 1975;355(2):151-64. doi: 10.1007/BF00581830.
The dynamic patterns of body fluid volume distribution, of cardiovascular variables and of renal water, sodium and potassium excretion were studied in the anaesthetized rat following acute, iso-oncotic blood volume expansion. The increased renal excretion following expansion was soon reversed and its pattern to termination was not correlated with changes in pulse and mean arterial pressure, in plasma electrolyte concentration or in haematocrit. At the end of the renal response the change in extracellular fluid volume was not usually corrected, the blood volume was always well above its control value and the interstitial fluid was below its control value. In all cases the temporal pattern and the termination of the renal response corresponded closely with the temporal pattern and the return to the control value of the central venous mean and pulse pressure. The findings of thse experiments are not consistent with the view that any of the measured body fluid volumes directly and always determine renal excretion. It is proposed that in response to an acute blood volume expansion an animal may initially regulate neither its blood volume nor its extracellular fluid volume but rather a factor which is reflected in or related to the central venous pressure.
在麻醉大鼠中,研究了急性等渗性血容量扩张后体液容量分布、心血管变量以及肾脏水、钠和钾排泄的动态模式。扩张后肾脏排泄增加,但很快就逆转了,其终止模式与脉搏、平均动脉压、血浆电解质浓度或血细胞比容的变化无关。在肾脏反应结束时,细胞外液容量的变化通常未得到纠正,血容量始终远高于其对照值,而组织液低于其对照值。在所有情况下,肾脏反应的时间模式和终止与中心静脉平均压和脉压的时间模式以及恢复到对照值密切相关。这些实验结果与任何测量的体液容量直接且始终决定肾脏排泄的观点不一致。有人提出,对急性血容量扩张的反应中,动物最初可能既不调节血容量也不调节细胞外液容量,而是调节一个反映在中心静脉压或与之相关的因素。