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[清醒状态下及一氧化二氮和巴比妥类麻醉时犬的钠和水平衡(作者译)]

[Sodium- and water balance in the dog in the conscious state and under nitrous-oxide and barbiturate anesthesia (author's transl)].

作者信息

Finsterer U, Brechtelsbauer H, Prucksunand P, Zink V, Kramer K

出版信息

Anaesthesist. 1975 Jul;24(7):306-16.

PMID:1217690
Abstract

By a suitable pattern of saline infusion we established an equilibrium between input and renal output of sodium and water in the conscious animal, which was maintained for six hours. During this period of equilibrium we found an increase in GFR, plasma volume and functional ECFV of about 30% each, the amount of intravascular protein and albumin being unchanged. Under nitrous-oxide and thiopentone anaesthesia renal sodium and water excretion was unchanged compared with values of conscious animals. However there was a striking decrease in plasma volume as well as in circulating protein and albumin by approximately 20%. Similarly functional ECFV (sulphate space) was found to be reduced under thiopentone anaesthesia. Retention of sodium about 12 hours after the end of anesthesia amounted to 7% of the quantities infused (about 50 mval per animal), whilst the applied water load had been completely excreted.

摘要

通过适当的生理盐水输注模式,我们在清醒动物体内建立了钠和水的输入与肾输出之间的平衡,这种平衡维持了6小时。在平衡期内,我们发现肾小球滤过率(GFR)、血浆容量和功能性细胞外液量(ECFV)各增加了约30%,血管内蛋白质和白蛋白的量未发生变化。在一氧化二氮和硫喷妥钠麻醉下,肾钠和水排泄与清醒动物的值相比没有变化。然而,血浆容量以及循环蛋白质和白蛋白显著减少了约20%。同样,在硫喷妥钠麻醉下发现功能性ECFV(硫酸盐间隙)减少。麻醉结束约12小时后,钠潴留量达到输注量的7%(每只动物约50毫当量),而施加的水负荷已完全排出。

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