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垂体切除术后及局部消融后心房感受器引起的利尿,血浆血管加压素无变化。

Diuresis from atrial receptors after hypophysectomy and local ablation with no changes in plasma vasopressin.

作者信息

Bennett K L, Linden R J

机构信息

Department of Cardiovascular Studies, University, Leeds.

出版信息

Q J Exp Physiol. 1988 Sep;73(5):755-65. doi: 10.1113/expphysiol.1988.sp003195.

Abstract

Stimulation of the left atrial receptors in dogs anaesthetized with chloralose results in a reflex diuresis and natriuresis. The efferent limb of this reflex is though to have at least three components: nervous, haemodynamic and humoral. The present study was designed to investigate the humoral component in dogs anaesthetized with chloralose; to determine whether a humoral agent, other than vasopressin, might be causative in this reflex diuresis. The nervous and haemodynamic components were prevented by pharmacological denervation. Any possible contribution to the diuresis by a decrease in the plasma concentration of vasopressin was prevented by the removal of the pituitary gland. In animals in which a spontaneous diuresis followed hypophysectomy, an infusion of arginine vasopressin sufficient to maintain urine flow in the normal range for these dogs anaesthetized with chloralose was given. Distension of small balloons at the pulmonary vein-atrial junctions and in the left atrial appendage discretely to stimulate the atrial receptors in eleven dogs anaesthetized with chloralose resulted in a significant diuresis. It was concluded that a blood-borne agent other than vasopressin was responsible for the observed diuresis. At the moment it is not known whether vasopressin or the diuretic agent, or both, are involved in the diuresis accompanying the stimulation of atrial receptors.

摘要

用氯醛糖麻醉的犬,刺激其左心房感受器会导致反射性利尿和利钠。该反射的传出支被认为至少有三个组成部分:神经、血流动力学和体液。本研究旨在研究用氯醛糖麻醉的犬的体液成分;确定除血管加压素外,是否有其他体液因子可能导致这种反射性利尿。通过药理学去神经支配来阻断神经和血流动力学成分。通过切除垂体来防止血管加压素血浆浓度降低对利尿可能产生的任何影响。在垂体切除术后出现自发性利尿的动物中,输注足以维持这些用氯醛糖麻醉的犬的尿流在正常范围内的精氨酸血管加压素。在11只用氯醛糖麻醉的犬中,在肺静脉-心房交界处和左心耳处分别用小气球扩张以刺激心房感受器,结果导致显著利尿。得出的结论是,除血管加压素外,一种血源因子是观察到的利尿的原因。目前尚不清楚血管加压素或利尿剂,或两者是否参与了刺激心房感受器时伴随的利尿过程。

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