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血管加压素和去氨加压素对清醒犬血浆肾素活性及电解质排泄的影响。

Effects of AVP and DDAVP on plasma renin activity and electrolyte excretion in conscious dogs.

作者信息

Johnson M D, Kinter L B, Beeuwkes R

出版信息

Am J Physiol. 1979 Jan;236(1):F66-70. doi: 10.1152/ajprenal.1979.236.1.F66.

Abstract

Uninephrectomized adult female dogs with chronic indwelling catheters were maintained on a low sodium diet and studied without anesthesia. Following hydration with 3% dextrose, an intravenous infusion of either arginine vasopressin (AVP) or of 1-desamino-8-D-arginine vasopressin (DDAVP) was begun. The dose was calculated to achieve a near maximal physiological plasma concentration of AVP, or an equimolar concentration of DDAVP. Both AVP and DDAVP increased urinary osmolality from less than 60 to over 800 mosmol/kg H2O within 1 h. AVP infusion increased mean arterial pressure and renal electrolyte excretion and decreased heart rate and plasma renin activity (PRA), while DDAVP was without effect on these parameters. AVP infused into the renal artery at doses which did not alter systemic pressure and heart rate caused kaliuresis and reduced PRA. We conclude that the AVP-induced inhibition of renin secretion and increase in renal electrolyte excretion are not secondary to increased tubular permeability to water, but must represent a more specific action of AVP which is not shared by DDAVP.

摘要

对患有慢性留置导管的成年雌性去肾狗采用低钠饮食饲养,并在无麻醉状态下进行研究。用3%葡萄糖溶液进行补液后,开始静脉输注精氨酸加压素(AVP)或1-去氨基-8-D-精氨酸加压素(DDAVP)。计算剂量以达到接近最大生理血浆浓度的AVP或等摩尔浓度的DDAVP。AVP和DDAVP均在1小时内使尿渗透压从低于60 mosmol/kg H2O升高至超过800 mosmol/kg H2O。输注AVP可使平均动脉压升高、肾电解质排泄增加,并使心率和血浆肾素活性(PRA)降低,而DDAVP对这些参数无影响。以不改变全身血压和心率的剂量将AVP注入肾动脉会导致尿钾增多并降低PRA。我们得出结论,AVP诱导的肾素分泌抑制和肾电解质排泄增加并非继发于肾小管对水通透性的增加,而必定代表了AVP的一种更特殊作用,DDAVP并不具备这种作用。

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