O'Connor W J, Summerill R A
Cardiovasc Res. 1979 Jan;13(1):22-30. doi: 10.1093/cvr/13.1.22.
Bitches maintained on a low Na intake, were given doses of saline (0.125 mol.litre(-1) NaCl, 0.025 mol.litre(-1) NaHCO3, 0.004 mol.litre(-1) KCl) by stomach tube. Doses of 100 and 200 cm3 produced only minor increases in Na excretion; after 300 cm3, Na excretion rose from about 2 to about 60 micromol.min(-1). Plasma protein fell by 1.8 litre(-1) for each 100 cm3 of saline retained. Within normal ranges of Na excretion there is a threshold of plasma protein concentration above which Na is retained and below which Na is excreted. Changes in exogenous creatinine clearance were measured allowing calculation of the filtered load of Na, which shows that the absolute tubular reabsorption of Na and water is increased in volume expansion by isotonic saline. Meat produced large increase in glomerular filtration rate without much increase in Na excretion and mechanisms are discussed by which Na reabsorptin is more effective after meat than after doses of saline. Creatinine cleaerance increased by 0.67 cm3.min(-1) for each fall of 1 g.litre(-1) in plasma protein; this is predicted by a theory that the glomerular capillary blood pressure is 9.3 kPa (70 mmHg) rather than 6.7 kPa (50 mmHg).
给维持低钠摄入的母犬通过胃管给予一定剂量的生理盐水(0.125摩尔/升氯化钠、0.025摩尔/升碳酸氢钠、0.004摩尔/升氯化钾)。100立方厘米和200立方厘米的剂量仅使钠排泄量略有增加;300立方厘米后,钠排泄量从约2微摩尔/分钟升至约60微摩尔/分钟。每保留100立方厘米生理盐水,血浆蛋白下降1.8克/升。在正常钠排泄范围内,存在一个血浆蛋白浓度阈值,高于该阈值钠被保留,低于该阈值钠被排泄。测量外源性肌酐清除率的变化以计算钠的滤过量,这表明等渗盐水扩容时钠和水的绝对肾小管重吸收增加。肉类使肾小球滤过率大幅增加,但钠排泄量增加不多,并讨论了肉类后钠重吸收比生理盐水剂量后更有效的机制。血浆蛋白每下降1克/升,肌酐清除率增加0.67立方厘米/分钟;这由一种理论预测,即肾小球毛细血管血压为9.3千帕(70毫米汞柱)而非6.7千帕(50毫米汞柱)。