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隔离诱导性高血压大鼠肾上腺切除术后血压升高的再发展

Redevelopment of elevated blood pressure following adrenalectomy in rats with isolation-induced hypertension.

作者信息

Gardiner S M, Bennett T

出版信息

J Hypertens. 1985 Aug;3(4):373-8. doi: 10.1097/00004872-198508000-00010.

Abstract

We have previously shown that rats housed in individual metabolism cages develop arterial hypertension and that this can be prevented by adrenalectomy. In the present work the influence of adrenalectomy on blood pressure, heart rate and on fluid and electrolyte balance was investigated in rats with established isolation-induced hypertension. Seven days after adrenalectomy, systolic blood pressure was reduced to levels similar to those seen before the induction of hypertension; the fall in blood pressure was accompanied by tachycardia. It is likely that the reduction in blood pressure was partly due to volume depletion, since adrenalectomized rats showed reductions in fluid, sodium and potassium balance during the first week after operation. Over the following 3 weeks, blood pressure and heart rate returned to pre-operative hypertensive levels, associated with increasingly positive balances for fluid and sodium. Maintenance of elevated blood pressure in isolated rats following adrenalectomy is likely to have been aided by activation of the renin-angiotensin system, since infusion of saralasin caused profound hypotension in these circumstances, whereas it had a slight pressor effect in intact rats with isolation-induced hypertension.

摘要

我们之前已经表明,饲养在个体代谢笼中的大鼠会出现动脉高血压,而肾上腺切除术可以预防这种情况。在目前的研究中,我们调查了肾上腺切除术对已患有隔离诱导性高血压大鼠的血压、心率以及液体和电解质平衡的影响。肾上腺切除术后7天,收缩压降至与高血压诱导前相似的水平;血压下降伴随着心动过速。血压降低可能部分是由于血容量减少,因为肾上腺切除的大鼠在术后第一周内液体、钠和钾平衡均有所下降。在接下来的3周内,血压和心率恢复到术前的高血压水平,同时液体和钠的平衡越来越呈正值。肾上腺切除术后隔离大鼠血压持续升高可能是由于肾素 - 血管紧张素系统的激活,因为在这种情况下输注沙拉新会导致严重低血压,而在患有隔离诱导性高血压的完整大鼠中它具有轻微的升压作用。

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