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容量扩张以及颅内给予血管紧张素或卡巴胆碱期间的饮水与利钠作用

Drinking and natriuresis during volume expansion and intracranial angiotensin or carbachol.

作者信息

Fitts D A, Simpson J B

出版信息

Am J Physiol. 1986 Aug;251(2 Pt 2):R381-7. doi: 10.1152/ajpregu.1986.251.2.R381.

Abstract

Two methods of sodium loading were used to counteract the body fluid dilution resulting from natriuresis and water drinking during sustained lateral ventricular infusions of carbachol (CBC) or angiotensin II (ANG II) in rats. It was expected that preventing dilution would also prevent the precipitous decline of both drinking and natriuresis during the later hours of CBC infusion. In the first study, rats having isotonic saline as the sole drinking fluid during CBC infusions drank less fluid and had only slightly higher plasma osmolality and sodium concentration than rats drinking water, which showed extreme dilution. In the second study, rats with only water to drink were given intravenous infusions of 0.15, 0.45, or 1.00 M NaCl solutions at 1.8 ml/h concurrently with the intraventricular infusions. Significant dilution of plasma was found at the two lower rates but not at 1.00 M NaCl in CBC-infused rats. Only the latter group showed both persistent drinking and natriuresis throughout the 4-h infusion period, and this was not because of elevated plasma osmolality. Infusions of ANG II generated less severe body fluid dilution and more persistent drinking in both experiments. The study demonstrates that body fluid dilution may control the offset of both drinking and natriuresis during sustained infusions of CBC and that the more persistent drinking to ANG II vs. CBC probably occurs because of a lesser natriuresis and consequent fluid dilution.

摘要

在大鼠持续侧脑室输注卡巴胆碱(CBC)或血管紧张素II(ANG II)期间,采用两种钠负荷方法来抵消由于利钠和饮水导致的体液稀释。预计防止稀释也将防止在CBC输注后期饮水和利钠的急剧下降。在第一项研究中,在CBC输注期间以等渗盐水作为唯一饮用水的大鼠比饮用纯水的大鼠饮入更少的液体,并且其血浆渗透压和钠浓度仅略高,而饮用纯水的大鼠出现了极端稀释。在第二项研究中,只给水喝的大鼠在侧脑室输注的同时,以1.8 ml/h的速度静脉输注0.15、0.45或1.00 M NaCl溶液。在输注CBC的大鼠中,较低的两种输注速率导致血浆显著稀释,但1.00 M NaCl组未出现这种情况。只有后一组在整个4小时输注期间均表现出持续饮水和利钠,这并非由于血浆渗透压升高所致。在两个实验中,输注ANG II导致的体液稀释较轻,饮水更持久。该研究表明,体液稀释可能控制CBC持续输注期间饮水和利钠的终止,并且与CBC相比,对ANG II的饮水更持久可能是由于利钠较少以及随之而来的体液稀释所致。

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