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静脉输注高渗盐水对绵羊肾功能和抗利尿激素排泄的影响。

The effect of intravenous hypertonic saline infusion on renal function and vasopressin excretion in sheep.

作者信息

Yesberg N E, Henderson M, Budtz-Olsen O E

出版信息

Q J Exp Physiol Cogn Med Sci. 1978 Oct;63(4):331-9. doi: 10.1113/expphysiol.1978.sp002446.

Abstract

Conscious Merino ewes were given an intravenous hypertonic sodium chloride load of 4 mmol.min-1 for 100 min. This resulted in increases in urine flow, sodium and potassium excretion and plasma sodium concentration and osmolality. Urinary vasopressin output and solute-free water reabsorption increased and plasma renin activity declined. Renal plasma flow and glomerular filtration rate (GFR) rose, as did the solute clearance. The change in urinary osmolality was related to the initial urine osmolality such that when the initial urine osmolality was high the urine became more dilute, and vice versa. Tubular sodium reabsorption increased but the fractional reabsorption rate fell. It is suggested that the increase in GFR was at least partly due to the increase in AVP and that the electrolyte loss can be accounted for by the increase in GFR without necessarily involving AVP or other hormonal effects at the tubular level.

摘要

对清醒的美利奴母羊静脉输注4 mmol·min⁻¹的高渗氯化钠溶液,持续100分钟。这导致尿流量、钠和钾排泄量增加,血浆钠浓度和渗透压升高。尿中血管加压素排出量和无溶质水重吸收增加,血浆肾素活性下降。肾血浆流量和肾小球滤过率(GFR)升高,溶质清除率也升高。尿渗透压的变化与初始尿渗透压有关,即当初始尿渗透压高时,尿液变得更稀,反之亦然。肾小管钠重吸收增加,但重吸收率下降。提示GFR的升高至少部分归因于血管加压素的增加,并且电解质的丢失可以由GFR的升高来解释,而不一定涉及血管加压素或肾小管水平的其他激素作用。

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