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犬在输注抗利尿激素和低渗盐水期间的高血压。

Hypertension in dogs during antidiuretic hormone and hypotonic saline infusion.

作者信息

Manning R D, Guyton A C, Coleman T G, McCaa R E

出版信息

Am J Physiol. 1979 Feb;236(2):H314-22. doi: 10.1152/ajpheart.1979.236.2.H314.

Abstract

Experimental hypertension was produced in 7 dogs by continuously infusing suppressor amounts of antidiuretic hormone (ADH) and hypotonic saline after renal mass had been surgically reduced to 30% of normal. Data were collected during 9 days of control measurements, 14 days of ADH and saline infusion, and then 3 days of saline infusion to 1) determine the chronic effects of ADH on arterial pressure and 2) determine whether hypertension could be maintained during hyponatremia. During the period of ADH infusion, arterial pressure increased to hypertensive levels while plasma sodium concentration decreased almost 20 meq/1. Also, during the ADH infusion period, the dogs demonstrated decreases in heart rate, plasm potassium concentration, plasma renin activity, and plasma aldosterone concentration. Fluid volume expansion was evidenced by sustained increases in blood volume and sodium space. We conclude that when renal function is compromised, subpressor amounts of ADH can contribute to the development of hypertension, probably due to its fluid-retaining properties and in spite of the attendant hyponatremia.

摘要

通过在肾质量手术减少至正常的30%后持续输注抑制量的抗利尿激素(ADH)和低渗盐水,在7只狗身上诱发了实验性高血压。在9天的对照测量、14天的ADH和盐水输注以及随后3天的盐水输注期间收集数据,以1)确定ADH对动脉血压的慢性影响,以及2)确定在低钠血症期间高血压是否能够维持。在ADH输注期间,动脉血压升至高血压水平,而血浆钠浓度几乎降低了20 meq/1。此外,在ADH输注期间,狗的心率、血浆钾浓度、血浆肾素活性和血浆醛固酮浓度均降低。血容量和钠间隙持续增加证明了体液量扩张。我们得出结论,当肾功能受损时,抑制量的ADH可能会导致高血压的发展,这可能是由于其保水特性,尽管伴有低钠血症。

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