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氯化钾输注对犬肾素分泌率及醛固酮排泄的影响。

Effect of KCl infusion on renin secretory rates and aldosterone excretion in dogs.

作者信息

Flamenbaum W, Kleinman J G, McNeil J S, Hamburger R J, Kotchen T A

出版信息

Am J Physiol. 1975 Aug;229(2):370-5. doi: 10.1152/ajplegacy.1975.229.2.370.

Abstract

The effects of unilateral intrarenal arterial KCl infusion in dogs (12 mueq/kg per min) on bilateral renal function, renin secretory rates, and aldosterone excretion were studied. During KCl infusion, infused-side renal arterial plasma [K+] increased by 2.2 +/- 0.6 meq/liter. Systemic plasma [K+] simultaneously rose by 0.6 +/- 0.1 meq/liter. Plasma renin activity decreased 29 +/- 9%, and the decrease correlated with the increases in plasma [K+]. Renin secretory rate decreased bilaterally, the decrease being greater in each experiment on the infused side. Aldosterone excretion increased during KCl infusion by 72 +/- 17%, despite a decrease in plasma renin activity. With KCl infusion there was a bilateral increase in K+ excretion, and a positive correlation was observed between the net alterations in K+ and Na+ excretion. No significant alterations in systemic blood pressure, glomerular filtration rate, total renal blood flow, or intracortical renal blood flow distribution were observed. These studies suggest that K+ inhibits the release of renin by an intrarenal mechanism, which may be related to a K+-induced alteration in Na+ absorption.

摘要

研究了犬单侧肾动脉输注氯化钾(12微当量/千克每分钟)对双侧肾功能、肾素分泌率和醛固酮排泄的影响。在输注氯化钾期间,输注侧肾动脉血浆[K⁺]升高2.2±0.6毫当量/升。全身血浆[K⁺]同时升高0.6±0.1毫当量/升。血浆肾素活性降低29±9%,且这种降低与血浆[K⁺]的升高相关。双侧肾素分泌率均降低,在每个实验中输注侧降低幅度更大。尽管血浆肾素活性降低,但氯化钾输注期间醛固酮排泄增加72±17%。输注氯化钾时,钾排泄双侧增加,且钾和钠排泄的净变化之间存在正相关。未观察到全身血压、肾小球滤过率、总肾血流量或皮质内肾血流分布有显著改变。这些研究表明,钾通过肾内机制抑制肾素释放,这可能与钾诱导的钠吸收改变有关。

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