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新生儿血浆肾素活性与钠平衡、肾功能及尿血管加压素的关系

Plasma renin activity related to sodium balance, renal function and urinary vasopressin in the newborn infant.

作者信息

Godard C, Geering J M, Geering K, Vallotton M B

出版信息

Pediatr Res. 1979 Jun;13(6):742-5. doi: 10.1203/00006450-197906000-00004.

DOI:10.1203/00006450-197906000-00004
PMID:481942
Abstract

Plasma renin activity was determined in 25 healthy, full-term, newborn infants aged 1 day to 9 weeks. High values were found, the mean level at 1-2 days of life (24.8 +/- 8.4 ng/ml/hr, SE) being significantly higher than the mean levels at 7-9 days (5.8 +/- 1.5) and at 4-9 weeks (8.1 +/- 1.3) (P less than 0.05). No correlation was found between plasma renin activity and systolic blood pressure, hematocrit, creatinine clearance, serum sodium, or serum potassium. Plasma renin activity (log values) was inversely correlated with sodium intake (r = -0.58) or with urinary sodium (r = -0.44), and positively with urinary osmolality (r = 0.67). The correlations reached higher coefficients if only infants aged less than or equal to 9 days were considered. In addition, vasopressin was measured by radioimmunoassay in the urine. The daily excretion was lower in newborn infants (9.4 +/- 1.6 ng/m2/day, SE, at 1-2 days of postnatal life) than in healthy children (37.1 +/- 5.6), and was significantly correlated with creatinine clearance (r = 0.69), but not with urinary osmolality.

摘要

对25名年龄在1天至9周的健康足月新生儿测定了血浆肾素活性。结果发现活性值较高,出生后1 - 2天的平均水平(24.8 +/- 8.4 ng/ml/hr,标准误)显著高于7 - 9天(5.8 +/- 1.5)和4 - 9周(8.1 +/- 1.3)时的平均水平(P小于0.05)。未发现血浆肾素活性与收缩压、血细胞比容、肌酐清除率、血清钠或血清钾之间存在相关性。血浆肾素活性(对数数值)与钠摄入量(r = -0.58)或尿钠(r = -0.44)呈负相关,与尿渗透压呈正相关(r = 0.67)。如果仅考虑年龄小于或等于9天的婴儿,相关性系数更高。此外,通过放射免疫分析法测定了尿液中的血管加压素。新生儿的每日排泄量(出生后1 - 2天为9.4 +/- 1.6 ng/m2/天,标准误)低于健康儿童(37.1 +/- 5.6),且与肌酐清除率显著相关(r = 0.69),但与尿渗透压无关。

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Urinary excretion of immunoreactive vasopressin in prepubertal children. Lack of correlation with urinary excretion of immunoreactive neurophysins.
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Plasma renin activity in infants with congenital heart disease.先天性心脏病患儿的血浆肾素活性
Arch Dis Child. 1987 Nov;62(11):1136-8. doi: 10.1136/adc.62.11.1136.
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Factors influencing plasma renin and renin substrate in premature infants.影响早产儿血浆肾素和肾素底物的因素。
Arch Dis Child. 1991 Oct;66(10 Spec No):1150-4. doi: 10.1136/adc.66.10_spec_no.1150.