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先前摄入盐分对静脉输注高渗盐水的绵羊肾功能的影响。

The influence of previous salt ingestion on the renal function of sheep subjected to intravenous hypertonic saline.

作者信息

Potter B J

出版信息

J Physiol. 1968 Feb;194(2):435-55. doi: 10.1113/jphysiol.1968.sp008417.

Abstract
  1. Sheep, which had access to a solution containing 1.3% sodium chloride as their sole source of drinking water for 6 months or more, were infused with a hypertonic solution (10%) of sodium chloride, and their ability to tolerate this salt load was compared with that of a similar group of sheep which drank only rain water.2. The sheep which drank the rain water were often affected by the infusion and exhibited signs resembling potassium deficit. No such signs were apparent in the animals which consumed saline water.3. Glomerular filtration rates were increased in all sheep by the hypertonic saline infusion, the increases being greater in the sheep which were maintained on the saline water. Effective renal plasma flow rates, though extremely variable, behaved in a similar manner.4. Plasma values for sodium and chloride were increased in all sheep, but remained at a higher level for a longer period in the sheep which consumed rain water. The diuresis produced by hypertonic saline appeared to persist for a longer period in the sheep which drank rain water, while the excretion of sodium and chloride tended to be greater in the sheep maintained on saline water.5. Plasma potassium was reduced in all sheep and urinary excretion of potassium increased. The latter response was more pronounced in the sheep which drank the rain water.6. Filtered loads of sodium, chloride and potassium were greater in the sheep which were accustomed to drinking saline water. However, the amounts of potassium excreted were greater than those filtered in the rain water sheep and less than those filtered in the sheep which drank saline water. It therefore seems that secretion of potassium into the kidney tubules predominated in the former group and reabsorption prevailed in the latter.7. Reabsorption of free water in excess of solute was greater in the kidney tubules of the sheep which drank saline water.8. Increased blood volume and greater dilution of plasma proteins occurred in the sheep which drank rain water.
摘要
  1. 让绵羊以含有1.3%氯化钠的溶液作为唯一饮用水源达6个月或更长时间,然后给它们输注高渗氯化钠溶液(10%),并将它们耐受这种盐分负荷的能力与另一组只饮用雨水的类似绵羊进行比较。

  2. 饮用雨水的绵羊经常受到输注的影响,并表现出类似钾缺乏的症状。而饮用盐水的动物则没有明显的此类症状。

  3. 所有绵羊经高渗盐水输注后肾小球滤过率均升高,饮用盐水的绵羊升高幅度更大。有效肾血浆流量尽管变化极大,但表现类似。

  4. 所有绵羊的血浆钠和氯值均升高,但饮用雨水的绵羊在较长时间内保持在较高水平。高渗盐水引起的利尿在饮用雨水的绵羊中似乎持续时间更长,而饮用盐水的绵羊钠和氯的排泄量往往更大。

  5. 所有绵羊的血浆钾均降低,尿钾排泄增加。后一种反应在饮用雨水的绵羊中更为明显。

  6. 习惯饮用盐水的绵羊钠、氯和钾的滤过量更大。然而,饮用雨水的绵羊钾的排泄量大于滤过量,饮用盐水的绵羊钾的排泄量小于滤过量。因此,在前一组中似乎以钾分泌入肾小管为主,而在后一组中以钾重吸收为主。

  7. 饮用盐水的绵羊肾小管中溶质过量时自由水的重吸收更多。

  8. 饮用雨水的绵羊血容量增加,血浆蛋白稀释更明显。

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Sodium excretion by the mammalian kidney.哺乳动物肾脏的钠排泄。
Physiol Rev. 1954 Apr;34(2):287-333. doi: 10.1152/physrev.1954.34.2.287.

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