Zawada E T, TerWee J A, McClung D E
University of South Dakota School of Medicine, Sioux Falls.
Nephron. 1988;50(3):253-7. doi: 10.1159/000185169.
To probe renal hemodynamic measurements in relation to simultaneous systemic hemodynamic measurements in normal, adult, conscious dogs on a magnesium-deficient diet, 6 experimental animals were given 4 weeks of a magnesium-deficient diet compared to 9 animals whose dietary magnesium was normal. Systemic hemodynamics were estimated using a thermodilution catheter, and renal hemodynamics were estimated by standard renal clearance techniques. Electrolytes and hormones were also surveyed in these same animals at the time of hemodynamic measurements. Heart rate was significantly higher in magnesium-deficient dogs, but there were no other systemic hemodynamic differences between the two groups of dogs. Renal blood flow, effective renal plasma flow, and urinary osmolality were significantly higher in the magnesium-deficient animals. Whole-blood ionized calcium and potassium, serum magnesium, and fractional excretion of magnesium were lower in the magnesium-deficient dogs. We conclude that the renal circulation is more sensitive than the systemic circulation to disturbances in magnesium balance. Disturbances of other electrolytes accompanying magnesium deficiency were also confirmed.
为了探究缺镁饮食的正常成年清醒犬的肾血流动力学测量与同时进行的全身血流动力学测量之间的关系,6只实验动物被给予4周的缺镁饮食,与之相比,9只动物的饮食镁含量正常。使用热稀释导管估计全身血流动力学,并通过标准肾清除技术估计肾血流动力学。在进行血流动力学测量时,还对这些相同动物的电解质和激素进行了检测。缺镁犬的心率显著更高,但两组犬之间没有其他全身血流动力学差异。缺镁动物的肾血流量、有效肾血浆流量和尿渗透压显著更高。缺镁犬的全血离子钙和钾、血清镁以及镁的分数排泄较低。我们得出结论,肾循环比全身循环对镁平衡紊乱更敏感。还证实了伴随镁缺乏的其他电解质紊乱。