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肾素对限水和补液的反应。

Renin responses to water restriction and rehydration.

作者信息

Blair-West J R, Brook A H, Simpson P A

出版信息

J Physiol. 1972 Oct;226(1):1-13. doi: 10.1113/jphysiol.1972.sp009970.

Abstract
  1. The effect of restricted water intake and rapid rehydration was studied in three conscious sheep with respect to plasma renin concentration (PRC), blood corticosteroid levels, plasma protein and electrolyte concentrations, and the renal and faecal excretion of sodium and potassium.2. During water restriction the plasma concentrations of renin, protein and sodium rose while aldosterone levels were low or undetectable. Plasma potassium levels were unchanged. External sodium and potassium balance appeared to be unaffected.3. During rehydration the sheep drank more than their estimated water deficit in 3-4 min with the following effects: PRC rose three- to fourfold during the ensuing 12 hr. Aldosterone levels too rose, while plasma protein, sodium and potassium concentrations fell. Urinary sodium excretion virtually ceased for 24 hr, and urine flow rate increased only little during this period.4. If there was a single stimulus to renin release during water restriction and rehydration, it was not an alteration in vascular or extravascular volume, total body sodium, systemic B.P. or plasma sodium concentration.5. It is concluded that the rise in PRC in these experiments is compatible with the theory that altered sodium transport at the macula densa was the stimulus for renin release.
摘要
  1. 对三只清醒的绵羊进行了限水和快速补液实验,研究其对血浆肾素浓度(PRC)、血液皮质类固醇水平、血浆蛋白和电解质浓度以及钠和钾的肾排泄与粪排泄的影响。

  2. 在限水期间,肾素、蛋白和钠的血浆浓度升高,而醛固酮水平较低或无法检测到。血浆钾水平未变。外部钠和钾平衡似乎未受影响。

  3. 在补液期间,绵羊在3 - 4分钟内饮用的水量超过其估计的缺水总量,产生了以下影响:在随后的12小时内,PRC升高了三到四倍。醛固酮水平也升高,而血浆蛋白、钠和钾浓度下降。尿钠排泄在24小时内几乎停止,在此期间尿流率仅略有增加。

  4. 如果在限水和补液期间存在单一刺激肾素释放的因素,那么它不是血管或血管外容量、总体钠、全身血压或血浆钠浓度的改变。

  5. 得出的结论是,这些实验中PRC的升高与致密斑处钠转运改变是肾素释放刺激因素这一理论相符。

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