Department of Neurosurgery, Monash Health, Melbourne, Australia.
Department of Surgery, Monash University, Melbourne, Australia.
Neuroendocrinology. 2023;113(8):785-794. doi: 10.1159/000530701. Epub 2023 Apr 15.
Water balance is fundamental to all homeostasis. The hypothalamic-pituitary-adrenal axis influences water balance through the effects of corticotropin-releasing hormone and cortisol on arginine vasopressin secretion and the peripheral effects of cortisol on hemodynamics and renal water handling. In this review, we explored the complex interplay of glucocorticoids with water balance, with particular attention to hyponatremia and pituitary surgery.
水平衡是所有内稳态的基础。下丘脑-垂体-肾上腺轴通过促肾上腺皮质激素释放激素和皮质醇对精氨酸加压素分泌的影响以及皮质醇对血液动力学和肾脏水处理的外周影响来影响水平衡。在这篇综述中,我们探讨了糖皮质激素与水平衡之间的复杂相互作用,特别关注低钠血症和垂体手术。