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用5%葡萄糖进行腹膜透析产生钠耗竭对犬细胞外液容量和成分的影响。

The effects of the production of sodium depletion by peritoneal dialysis with 5 percent glucose on the volume and composition of the extracellular fluid of dogs.

作者信息

Rampton D S, Ramsay D J

出版信息

J Physiol. 1974 Mar;237(3):535-53. doi: 10.1113/jphysiol.1974.sp010497.

Abstract
  1. The volumes and compositions of the extracellular and peritoneal fluids were monitored in functionally nephrectomized dogs during a period of 4 hr of peritoneal dialysis with 5% glucose.2. The extracellular fluid volume ([(14)C]mannitol space), sodium, potassium and chloride concentrations decreased, while the peritoneal fluid volume, sodium, potassium and chloride concentrations increased.3. Movement of water from the e.c.f. to non-extracellular sites occurred, reaching a maximum after 1 hr; thereafter, the movement of water was first reduced, and later reversed.4. From the volumes and compositions of the extracellular and peritoneal fluids, the total contents of solutes in the two compartments were calculated.5. There was a mobilization of sodium and chloride from non-extra-cellular sites, which became significant after 2 hr of dialysis, and increased throughout the remainder of the period of dialysis.6. The physiological significance of these changes is discussed.
摘要
  1. 在对功能性肾切除的犬进行为期4小时的5%葡萄糖腹膜透析期间,监测细胞外液和腹膜液的容量及成分。

  2. 细胞外液容量([(14)C]甘露醇空间)、钠、钾和氯浓度降低,而腹膜液容量、钠、钾和氯浓度升高。

  3. 水从细胞外液向非细胞外部位移动,1小时后达到最大值;此后,水的移动首先减少,随后逆转。

  4. 根据细胞外液和腹膜液的容量及成分,计算了两个腔室中溶质的总含量。

  5. 钠和氯从非细胞外部位动员出来,透析2小时后变得显著,并在透析期的剩余时间内持续增加。

  6. 讨论了这些变化的生理意义。

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本文引用的文献

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Mucopolysaccharides and sodium metabolism.黏多糖与钠代谢
Circulation. 1960 May;21:941-7. doi: 10.1161/01.cir.21.5.941.
7
Response of cartilage sodium to changes in extracellular fluid.软骨钠对细胞外液变化的反应。
Proc Soc Exp Biol Med. 1960 Oct;105:137-9. doi: 10.3181/00379727-105-26036.
8
Changes in tissue composition during acute sodium depletion.急性钠缺乏时组织成分的变化。
Am J Physiol. 1956 Sep;186(3):383-92. doi: 10.1152/ajplegacy.1956.186.3.383.
10
Effect of acute hypernatremia, hyponatremia, and acidosis on bone sodium.
Am J Physiol. 1965 Oct;209(4):825-9. doi: 10.1152/ajplegacy.1965.209.4.825.

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