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血管加压素和水摄入过多诱导家兔低钾血症

Potassium depletion induced by vasopressin and overhydration in the rabbit.

作者信息

Barraclough M A

出版信息

Clin Sci Mol Med. 1975 Dec;49(6):535-41. doi: 10.1042/cs0490535.

DOI:10.1042/cs0490535
PMID:1204283
Abstract
  1. In order to study the effect of overhydration on body potassium, experiments were performed on pair-fed rabbits, one of which was maintained continuously on vasopressin and given extra water (60-90 ml day-1 kg-1) for 6-8 days, while the other served as control. 2. Overhydrated rabbits excreted significantly more potassium (53%) in their urine than control rabbits and accumulated a mean potassium deficit of 65-0 mmol, significantly higher than the mean value of 37-1 mmol in the control rabbits. 3. In the overhydrated rabbits, potassium fell significantly in both erythrocytes, from 266 to 173 mmol/kg of dry cells, and also in muscle, from 435 to 341 mmol/kg of fat-free dry solids. Neither changed significantly in the control animals. 4. Overhydration in the presence of vasopressin leads to potassium depletion in the rabbit and a similar phenomenon might be expected in man. Potassium depletion due to overhydration might account for the hypokalaemia and reduction in exchangeable potassium observed in some patients with the syndrome of inappropriate secretion of antidiuretic hormone.
摘要
  1. 为研究水合过度对机体钾的影响,对成对饲养的家兔进行了实验。其中一只持续给予血管加压素并额外补充水分(60 - 90毫升/天·千克⁻¹),持续6 - 8天,另一只作为对照。2. 水合过度的家兔尿钾排泄量比对照家兔显著增加(53%),平均钾缺乏量为65.0毫摩尔,显著高于对照家兔的平均值37.1毫摩尔。3. 水合过度的家兔红细胞内钾含量显著下降,从266毫摩尔/千克干细胞降至173毫摩尔/千克,肌肉中钾含量也从435毫摩尔/千克无脂干物质降至341毫摩尔/千克。对照动物中这两者均无显著变化。4. 血管加压素存在时的水合过度会导致家兔钾缺乏,预计人类也会出现类似现象。水合过度导致的钾缺乏可能是某些抗利尿激素分泌不当综合征患者低钾血症和可交换钾减少的原因。

相似文献

1
Potassium depletion induced by vasopressin and overhydration in the rabbit.血管加压素和水摄入过多诱导家兔低钾血症
Clin Sci Mol Med. 1975 Dec;49(6):535-41. doi: 10.1042/cs0490535.
2
Cerebral water and electrolytes. An experimental model of inappropriate secretion of antidiuretic hormone.脑水与电解质。抗利尿激素分泌不当的实验模型。
Arch Neurol. 1972 Jan;26(1):85-90. doi: 10.1001/archneur.1972.00490070103013.
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Sodium, potassium and water metabolism in the syndrome of inappropriate antidiuretic hormone secretion.抗利尿激素分泌不当综合征中的钠、钾和水代谢
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Effects of prolonged administration of vasopressin on plasma sodium and on renal excretion of electrolytes and water.血管加压素长期给药对血浆钠以及肾脏电解质和水排泄的影响。
J Pharmacol Exp Ther. 1971 Jul;178(1):141-51.
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[Water intoxication due to inadequate antidiuretic hormone secretion (Schwartz-Bartter syndrome) of idiopathic origin].特发性抗利尿激素分泌不足所致水中毒(施瓦茨-巴特综合征)
Schweiz Med Wochenschr. 1967 Jul 29;97(29):929-38.
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引用本文的文献

1
Potassium in the syndrome of inappropriate antidiuretic hormone secretion.抗利尿激素分泌异常综合征中的钾
Postgrad Med J. 1979 Oct;55(648):721-2. doi: 10.1136/pgmj.55.648.721.