Fried T A, Ayon M A, McDonald G, Lau A, Inagami T, Stein J H
Department of Medicine, University of Texas Health Science Center, San Antonio 78284.
Am J Physiol. 1987 Nov;253(5 Pt 2):F969-75. doi: 10.1152/ajprenal.1987.253.5.F969.
This study examined the relationship between right atrial pressure (RAP), urine flow rate, sodium excretion rate, and plasma atrial natriuretic peptide (ANP) levels after an acute Ringer expansion. Two groups of rats had their RAP monitored and balloon catheters placed in their thoracic inferior venae cavae. In one group the balloon remained deflated, and in the second group the balloon was inflated during the volume expansion in an attempt to prevent the rise in RAP. The peak RAP was 7.3 +/- 0.8 mmHg when the balloon remained deflated and 3.5 +/- 0.6 mmHg in the group with the balloon catheter inflated (P less than 0.005). The corresponding peak ANP levels were 682 +/- 140 and 223 +/- 40 pg/ml. There was a significant correlation between the peak RAP and ANP levels (r = 0.754; P less than 0.05). The inflation of the balloon catheter significantly decreased the urine flow rate and the urine sodium excretion rate. A final group of animals had 200 microliters of rabbit serum containing antibody to ANP infused before the volume expansion. The antibody-treated animals had significantly lower urine flow and sodium excretion rates than nonantibody-treated control rats. We conclude that ANP is one of the factors which allows the rat to excrete an acute Ringer expansion.
本研究检测了急性输注林格液后右心房压力(RAP)、尿流率、钠排泄率及血浆心钠素(ANP)水平之间的关系。两组大鼠均监测RAP,并将球囊导管置于胸段下腔静脉。一组球囊保持瘪陷,另一组在扩容期间将球囊充气以试图防止RAP升高。球囊保持瘪陷时RAP峰值为7.3±0.8 mmHg,球囊导管充气组为3.5±0.6 mmHg(P<0.005)。相应的ANP峰值水平分别为682±140和223±40 pg/ml。RAP峰值与ANP水平之间存在显著相关性(r=0.754;P<0.05)。球囊导管充气显著降低了尿流率和尿钠排泄率。最后一组动物在扩容前输注了200微升含抗ANP抗体的兔血清。抗体处理组动物的尿流率和钠排泄率显著低于未用抗体处理的对照大鼠。我们得出结论,ANP是使大鼠排泄急性输注林格液的因素之一。