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0-9%生理盐水输注对缺水、正常及水合状态清醒大鼠尿液和肾组织成分的影响。

Effects of 0-9 per cent saline infusion on urinary and renal tissue composition in the hydropaenic, normal and hydrated conscious rat.

作者信息

Atherton J C, Green R, Thomas S

出版信息

J Physiol. 1970 Sep;210(1):45-71. doi: 10.1113/jphysiol.1970.sp009195.

Abstract
  1. Changes in water and solute outputs of hydropaenic, normal and hydrated conscious rats were determined during intravenous infusion (0.2 ml./min) of isotonic (0.9%) saline for 4 hr; renal tissue composition was determined before, and after 1 or 2 hr, infusion.2. In normal and hydrated rats increased excretion of water and sodium was such that urinary output matched intravenous input from about 2 hr. In hydropaenic rats, the diuretic and natriuretic response was much reduced; a retention of infused saline, equivalent to 15% body weight, occurred over 4 hr.3. A considerable increase in urea output and clearance, and a smaller increase in potassium and ammonium outputs, occurred in all groups.4. The corticomedullary osmolal gradients characteristic of non-diuretic rats were largely dissipated during saline infusion: by 1 hr in normal and hydrated rats, and by 2 hr in the hydropaenic group.5. These changes were ascribable mainly to an increase in tissue water content in all segments, particularly in the hydropaenic group; and to a profound decrease in urea content in all groups.6. Changes in tissue sodium content were smaller, and differed between segments and between the differently hydrated groups. A decrease in papillary content occurred in hydropaenic and normal groups and an increase in cortical and outer medullary content occurred in all groups.7. After 2 hr saline infusion, incomplete papillary-urinary osmotic equilibration was evident in all groups.8. These changes in medullary osmolality and in papillary-urinary osmotic equilibration preceded the maximal diuresis, and must contribute to the diuresis induced by saline infusion, as in water and osmotic diureses.
摘要
  1. 在对禁水、正常饮水和水合状态下的清醒大鼠以0.2毫升/分钟的速度静脉输注等渗(0.9%)盐水4小时的过程中,测定了其水和溶质排出量的变化;在输注前以及输注1或2小时后,测定了肾组织成分。

  2. 在正常饮水和水合状态下的大鼠中,水和钠的排泄增加,使得尿量从约2小时起与静脉输入量相匹配。在禁水大鼠中,利尿和排钠反应大大降低;在4小时内出现了相当于体重15%的输注盐水潴留。

  3. 所有组的尿素排出量和清除率均显著增加,钾和铵的排出量也有较小增加。

  4. 在输注盐水期间,非利尿大鼠特有的皮质髓质渗透压梯度在很大程度上消失:正常饮水和水合状态下的大鼠在1小时时消失,禁水组在2小时时消失。

  5. 这些变化主要归因于所有节段组织含水量的增加,尤其是禁水组;以及所有组尿素含量的显著降低。

  6. 组织钠含量的变化较小,且在不同节段以及不同水合状态的组之间存在差异。禁水组和正常组的乳头钠含量降低,所有组的皮质和外髓钠含量增加。

  7. 在输注盐水2小时后,所有组均出现不完全的乳头-尿液渗透平衡。

  8. 髓质渗透压和乳头-尿液渗透平衡的这些变化先于最大利尿作用出现,并且必定有助于盐水输注诱导的利尿作用,如同在水利尿和渗透性利尿中一样。

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Effect of prehydration upon renal excretion of sodium in man.人体中预水化对钠肾排泄的影响。
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