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氟烷和甲氧氟烷麻醉下犬的钠和水平衡(作者译)

[Sodium and water balance in the dog under halothane and methoxyflurane anesthesia (author's transl)].

作者信息

Finsterer U, Prucksunand P, Feist H, Kramer K

出版信息

Anaesthesist. 1975 Oct;24(10):444-54.

PMID:1190416
Abstract

In our model of volume expanded dogs with an equilibrium between input and renal output of sodium and water halothane anesthesia (1,5 Vol.-% insp.) was performed. In deepening halothane anesthesia we found a progressive decrease of mean aortic pressure, GFR and renal sodium and water excretion. There was a strong correlation between GFR and sodium excretion. With a high GFR significantly more sodium was excreted under halothane, whilst reduction of GFR led to an overproportional decrease of sodium excretion. Urine osmolality, too, depended on GFR under halothane. The results of methoxyflurane anesthesia were quite similansion. Concentrations of inorganic fluoride in serum and urine, which we measured in these experiments, did not result in visible changes of sodium or water balance, compared with the conscious state.

摘要

在我们对钠和水输入与肾输出达到平衡的容量扩张犬模型中,进行了氟烷麻醉(吸入浓度为1.5体积%)。在加深氟烷麻醉过程中,我们发现平均主动脉压、肾小球滤过率(GFR)以及肾钠和水排泄量逐渐降低。GFR与钠排泄之间存在很强的相关性。在氟烷麻醉下,GFR较高时钠排泄量显著增加,而GFR降低则导致钠排泄量不成比例地减少。在氟烷麻醉下,尿渗透压也取决于GFR。甲氧氟烷麻醉的结果非常相似。我们在这些实验中测得的血清和尿液中无机氟化物浓度,与清醒状态相比,并未导致钠或水平衡出现明显变化。

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