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高钠摄入状态下清醒犬的左心房压力与餐后利尿

Left atrial pressure and postprandial diuresis in conscious dogs on a high sodium intake.

作者信息

Kaczmarczyk G, Reinhardt H W, Riedel J, EISELE R, Gatzka M, Kuhl U

出版信息

Pflugers Arch. 1977 Mar 11;368(1-2):181-9. doi: 10.1007/BF01063476.

Abstract

5 conscious, well trained, female dogs kept on a high sodium intake (14 meq Na/kg bw) were used to measure left atrial pressure (LAP), urine volume (V), sodium and potassium excretion (UNaV, UKV) as well as plasma osmolality (Posm) before and up to 180 min after food intake. The dogs were fitted with a catheter in the left atrium (thoracotomy). In all experiments (n=23) LAP increased postprandially (pp) above fasting controls. The mean peak increase ranged from 4 to 6 cm H2O and was observed as early as 61-80 and as late as 161-180 min pp. Increase in LAP was closely correlated to V which rose from 36+28 to 160+51/ul/min. kg. pp V was also correlated to pp UNa V, which increased from 4.8 +/- 3.3 to 34.O+/-8.5/ueq/min-kg. The pp increase in LAP and its close relation to pp V and pp UNav emphasize the assumption that intrathoracic receptors are involved in the regulation of body fluids.

摘要

选用5只意识清醒、训练有素、摄入高钠(14 毫当量钠/千克体重)的雌性犬,在进食前及进食后长达180分钟内测量左心房压力(LAP)、尿量(V)、钠和钾排泄量(UNaV、UKV)以及血浆渗透压(Posm)。这些犬通过开胸手术在左心房植入导管。在所有实验(n = 23)中,餐后(pp)LAP高于空腹对照。平均峰值升高范围为4至6厘米水柱,最早在餐后61 - 80分钟出现,最晚在餐后161 - 180分钟出现。LAP的升高与V密切相关,V从36 + 28上升至160 + 51/微升/分钟·千克。餐后V也与餐后UNaV相关,后者从4.8 ± 3.3增加至34.0 ± 8.5/微当量/分钟·千克。餐后LAP的升高及其与餐后V和餐后UNaV的密切关系强调了胸腔内受体参与体液调节的假设。

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