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脱水期间及脱水得到有限缓解后,热暴露男性血管内与血管外间隙之间水、蛋白质和晶体的移动情况。

Movement of water, protein and crystalloids between vascular and extra-vascular compartments in heat-exposed men during dehydration and following limited relief of dehydration.

作者信息

Senay L C

出版信息

J Physiol. 1970 Oct;210(3):617-35. doi: 10.1113/jphysiol.1970.sp009231.

Abstract
  1. Five male subjects were exposed to a hot environment (43-44 degrees C dry bulb, 28-29 degrees C wet bulb) and allowed to dehydrate for 4 hr. Water was then provided ad libitum for drinking during a 20-min period; thereafter the subjects continued at rest in the hot room for an additional 140 min.2. Through periodic samples of venous blood, water and protein movement into or out of the intravascular compartment were assessed during dehydration and during and following water ingestion that partially relieved dehydration.3. Consideration of changes in blood osmolarity, plasma protein content and haematocrit values led to the conclusion that protein was added to plasma during heat exposure and that plasma, as previously supposed, did not lose water at rates greater than that of the whole body under such conditions.4. Haemodilution occurred when dehydration was partially relieved by drinking water and this dilution was maintained even when sweat loss exceeded the amount of water ingested.5. For similar levels of bodily dehydration before and after water ingestion, body temperatures were lower when haemodilution was present.6. A hypothesis that relates changes in plasma volume and constituents with levels of exercise is presented.
摘要
  1. 五名男性受试者暴露于热环境(干球温度43 - 44摄氏度,湿球温度28 - 29摄氏度)中,使其脱水4小时。然后在20分钟内随意提供饮水;此后,受试者继续在热房间休息140分钟。

  2. 通过定期采集静脉血样本,评估脱水期间以及饮水部分缓解脱水期间和之后水和蛋白质进出血管内 compartment 的情况。

  3. 对血液渗透压、血浆蛋白含量和血细胞比容值变化的考虑得出结论,热暴露期间血浆中添加了蛋白质,并且在这种情况下,血浆如先前推测的那样,失水速率不会高于全身。

  4. 饮水部分缓解脱水时会发生血液稀释,即使出汗量超过饮水量,这种稀释仍会持续。

  5. 对于饮水前后身体脱水程度相似的情况,存在血液稀释时体温较低。

  6. 提出了一个将血浆容量和成分变化与运动水平相关联的假设。

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