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大鼠急性血容量扩张期间的心输出量和肾排泄率

Cardiac output and renal excretion rates during acute blood volume expansion in rats.

作者信息

Ackermann U

出版信息

Am J Physiol. 1978 Jan;234(1):H21-7. doi: 10.1152/ajpheart.1978.234.1.H21.

Abstract

Selected central vascular parameters and renal excretion rates were monitored in anesthetized rats after acute, isohemic blood volume expansion by 33 percent. The infusate was an equilibrated mixture of animals' own blood and isotonic, isoncotic (6 percent) bovine albumin. Expansion increased mean arterial pressure by 35 percent, mean central venous pressure (CVP) by 850 percent, cardiac output (CO) by 56 percent, hematocrit (Hct) by 25 percent, plasma protein concentration (Ppr) by 25 percent, renal excretion rates of volume by 4,400 percent, of sodium by 2,800 percent, and of potassium by 360 percent of the respective preinfusion value. Hct and Ppr measurements suggested that 15 min after the end of the infusion, only 33 percent of infused volume remained within the circulation and that there was little further change in this during the remainder of the experiment. At the end of the elevated renal response, CVP and CO alone had returned to control values. Renal excretion rates were highly correlated with CO, but they were delayed by 2-5 min with respect to it. The results suggest that the renal response to acute volume expansion does not primarily control blood volume. Cardiac output may be the controlled variable in the response.

摘要

在麻醉大鼠中,通过急性等容性失血使血容量增加33%后,监测选定的中心血管参数和肾脏排泄率。输注液是动物自身血液与等渗、等胶体渗透压(6%)牛白蛋白的平衡混合物。血容量扩充使平均动脉压升高35%,平均中心静脉压(CVP)升高850%,心输出量(CO)升高56%,血细胞比容(Hct)升高25%,血浆蛋白浓度(Ppr)升高25%,肾脏的容积排泄率是输注前各自值的4400%,钠排泄率是2800%,钾排泄率是360%。Hct和Ppr测量结果表明,输注结束15分钟后,只有33%的输注量仍留在循环系统中,并且在实验的其余时间里,这一数值几乎没有进一步变化。在肾脏反应增强结束时,仅CVP和CO恢复到对照值。肾脏排泄率与CO高度相关,但相对于CO延迟了2 - 5分钟。结果表明,肾脏对急性血容量扩充的反应并非主要用于控制血容量。心输出量可能是该反应中的受控变量。

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