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精氨酸加压素测定在多尿犬中的应用。

The use of arginine vasopressin measurements in the polyuric dog.

作者信息

Biewenga W J, van den Brom W E, Mol J A

出版信息

Tijdschr Diergeneeskd. 1987 Apr;112 Suppl 1:117S-120S.

PMID:3576593
Abstract

The direct measurements of AVP during water deprivation and salt loading demonstrate the inability of the direct water deprivation test to distinguish accurately between several forms of polyuria. Polyuria and polydipsia are commonly formed disorders in the dog and can be caused by osmotic diuresis; deficient release of anti-diuretic hormone-arginine vasopressin (AVP); a decreased renal response to AVP; excessive water intake. The differentiation between these forms often requires a water deprivation test followed by administration of vasopressin. The latter test is an indirect one and relies upon changes in urinary concentration as index of vasopressin function. With this it is usually possible to differentiate total neurogenic diabetes insipidus and total nephrogenic diabetes insipidus. However, several dipsogenic forms and partial diabetes insipidus forms are still very difficult to distinguish from each other and only the direct measurement of plasma AVP (PAVP) can give conclusive information. The role of AVP in osmoregulation was investigated by measuring plasma osmolality (Posm) and PAVP during; hypertonic saline infusions; water deprivation in both healthy experimental dogs and in dogs with polyuria.

摘要

在禁水和盐负荷期间对血管加压素(AVP)进行直接测量,结果表明直接禁水试验无法准确区分几种形式的多尿症。多尿和烦渴是犬类常见的病症,可由渗透性利尿、抗利尿激素 - 精氨酸血管加压素(AVP)释放不足、肾脏对AVP反应降低、饮水过多引起。区分这些形式通常需要进行禁水试验,随后注射血管加压素。后一种试验是间接试验,依赖于尿浓缩的变化作为血管加压素功能的指标。通过这种方法,通常可以区分完全性神经源性尿崩症和完全性肾源性尿崩症。然而,几种致渴性形式和部分尿崩症形式仍然很难相互区分,只有直接测量血浆AVP(PAVP)才能提供确凿的信息。通过在健康实验犬和多尿犬中测量血浆渗透压(Posm)和PAVP,研究了AVP在渗透压调节中的作用;在静脉输注高渗盐水、禁水期间进行测量。

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