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急性代谢性酸中毒对血浆皮质醇、肾素活性和醛固酮的影响。

The effect of acute metabolic acidosis on plasma cortisol, renin activity and aldosterone.

作者信息

Perez G O, Oster J R, Katz F H, Vaamonde C A

出版信息

Horm Res. 1979;11(1):12-21. doi: 10.1159/000179033.

Abstract

The effect of metabolic acidosis on the renin-aldosterone system remains unclear. In the present study anesthetized mongrel dogs (n = 19) were infused at similar rates with 0.45% NaCl (controls), HCl or NH4Cl (2.5mEq/kg) for 1--3 h. The induced metabolic acidosis in the two experimental groups was not associated with increases in plasma renin activity. Plasma cortisol (as a marker for ACTH secretion) and serum potassium concentration increased in both HCl- and NH4Cl-treated animals. Plasma aldosterone increased after 30 min in the HCl group and 60 min in the NH4Cl group and did not change in controls. These findings demonstrate that metabolic acidosis induced by HCl or NH4Cl is associated with increased aldosterone production without concomitant changes in plasma renin activity.

摘要

代谢性酸中毒对肾素 - 醛固酮系统的影响仍不清楚。在本研究中,对19只麻醉的杂种犬以相似的速率输注0.45%氯化钠(对照组)、盐酸或氯化铵(2.5mEq/kg),持续1 - 3小时。两个实验组中诱导的代谢性酸中毒与血浆肾素活性增加无关。在盐酸和氯化铵处理的动物中,血浆皮质醇(作为促肾上腺皮质激素分泌的标志物)和血清钾浓度均升高。盐酸组在30分钟后血浆醛固酮增加,氯化铵组在60分钟后血浆醛固酮增加,而对照组无变化。这些发现表明,由盐酸或氯化铵诱导的代谢性酸中毒与醛固酮生成增加有关,而血浆肾素活性无相应变化。

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