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肾上腺素和普萘洛尔对高钾血症无尿犬跨膜钾转运的影响。

Influence of epinephrine and propranolol on transmembrane K transfer in anuric dogs with hyperkalemia.

作者信息

Hiatt N, Chapman L W, Davidson M B

出版信息

J Pharmacol Exp Ther. 1979 May;209(2):282-6.

PMID:439003
Abstract

In anuric dogs K loaded by infusion of 2 mEq of KCl per kg per hr the quantity of K transferred to intracellular fluid in ureter-ligated animals is considerably less than in nephrectomized ones; the combination of ureter ligation and hyperkalemia seems to suppress transmembrane K transfer. In the present investigation we found that treatment of K loaded ureter-ligated dogs with epinephrine markedly increased the animals' ability to transfer K to intracellular fluid, and that administration of propranolol (with and without epinephrine) reduced K transfer capacity below the control level. Further, we found that propranolol treatment of K-loaded nephrectomized dogs produced a striking diminution of K transfer ability. The data suggest that beta adrenergic receptors are importantly involved in the transmembrane K transfer of K-loaded anuric dogs, and that ureter ligation and hyperkalemia suppress K transfer capacity by blocking beta receptors.

摘要

在通过每小时每千克输注2毫当量氯化钾而导致钾负荷的无尿犬中,输尿管结扎动物体内转移至细胞内液的钾量明显少于肾切除动物;输尿管结扎与高钾血症的联合作用似乎抑制了跨膜钾转移。在本研究中,我们发现用肾上腺素治疗钾负荷的输尿管结扎犬显著提高了动物将钾转移至细胞内液的能力,并且给予普萘洛尔(无论有无肾上腺素)会使钾转移能力降至对照水平以下。此外,我们发现用普萘洛尔治疗钾负荷的肾切除犬会使钾转移能力显著降低。这些数据表明,β肾上腺素能受体在钾负荷的无尿犬的跨膜钾转移中起重要作用,并且输尿管结扎和高钾血症通过阻断β受体来抑制钾转移能力。

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