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中心静脉压变化对人体血浆血管加压素的影响。

Influence of central venous pressure change on plasma vasopressin in humans.

作者信息

Norsk P, Bonde-Petersen F, Warberg J

出版信息

J Appl Physiol (1985). 1986 Oct;61(4):1352-7. doi: 10.1152/jappl.1986.61.4.1352.

Abstract

After overnight food and fluid restriction, nine healthy males were examined before, during, and after lower body positive pressure (LBPP) of 11 +/- 1 mmHg (mean +/- SE) for 30 min and before, during, and after graded lower body negative pressure (LBNP) of -10 +/- 1, -20 +/- 2, and -30 +/- 2 mmHg for 20 min each. LBPP and LBNP were performed with the subject in the supine position in a plastic box encasing the subject from the xiphoid process and down, thus including the splanchnic area. Central venous pressure (CVP) during supine rest was 7.5 +/- 0.5 mmHg, increasing to 13.4 +/- 0.8 mmHg (P less than 0.001) during LBPP and decreasing significantly at each step of LBNP to 2.0 +/- 0.5 mmHg (P less than 0.001) at 15 min of -30 +/- 2 mmHg LBNP. Plasma arginine vasopressin (AVP) did not change significantly in face of this large variation in CVP of 11.4 mmHg. Mean arterial pressure increased significantly during LBPP from 100 +/- 2 to 117 +/- 3 Torr (P less than 0.001) and only at one point during LBNP of -30 +/- 2 mmHg from 102 +/- 1 to 115 +/- 5 mmHg (P less than 0.05). Heart rate did not change during LBPP but increased slightly from 51 +/- 3 to 55 +/- 3 beats/min (P less than 0.05) only at 7 min of LBNP of -30 +/- 2 mmHg. Plasma osmolality, sodium, and potassium did not change during the experiment. Hemoglobin concentration increased during LBPP and LBNP, whereas hematocrit only increased during LBNP.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在经过一夜的禁食禁水后,对9名健康男性进行了检查。分别在施加11±1 mmHg(均值±标准误)的下体正压(LBPP)30分钟的过程中及前后,以及在分别施加-10±1、-20±2和-30±2 mmHg的分级下体负压(LBNP)各20分钟的过程中及前后进行检查。LBPP和LBNP检查时,受试者仰卧于一个从剑突以下包裹住受试者的塑料盒中,因此包括了内脏区域。仰卧休息时中心静脉压(CVP)为7.5±0.5 mmHg,在LBPP期间升至13.4±0.8 mmHg(P<0.001),在LBNP的每个阶段均显著下降,在-30±2 mmHg LBNP 15分钟时降至2.0±0.5 mmHg(P<0.001)。面对CVP出现的11.4 mmHg的大幅变化,血浆精氨酸加压素(AVP)并未显著改变。平均动脉压在LBPP期间从100±2显著升至117±3 Torr(P<0.001),仅在-30±2 mmHg LBNP期间的某一点从102±1升至115±5 mmHg(P<0.05)。心率在LBPP期间未改变,但仅在-30±2 mmHg LBNP 7分钟时从51±3轻微升至55±3次/分钟(P<0.05)。实验期间血浆渗透压、钠和钾均未改变。血红蛋白浓度在LBPP和LBNP期间升高,而血细胞比容仅在LBNP期间升高。(摘要截取自250词)

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