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容量和渗透压在脱水犬血浆血管加压素调控中的作用

Role of volume and osmolality in the control of plasma vasopressin in dehydrated dogs.

作者信息

Wade C E, Keil L C, Ramsay D J

出版信息

Neuroendocrinology. 1983 Nov;37(5):349-53. doi: 10.1159/000123574.

Abstract

Plasma vasopressin concentrations (pAVP) are elevated during dehydration due to alterations in extracellular fluid (ECF) volume and tonicity. The contributions of the reduction in volume and increase in plasma osmolality to the rise in pAVP were assessed in 6 dogs with bilateral carotid loops following 24 h of fluid, but not food, deprivation. Dehydration significantly (p less than 0.05) increased plasma osmolality from 297 +/- 1 to 315 +/- 2 mosm/kg), decreased body weight from 20.8 +/- 1.2 to 20.3 +/- 1.2 kg, and elevated pAVP from 1.4 +/- 0.2 to 5.3 +/- 0.6 pg/ml. The effect of extracellular fluid volume reduction was tested by reexpanding this compartment in dehydrated dogs with 0.15 M NaCl. Plasma vasopressin concentration was significantly reduced by 1.3 +/- 0.2 pg/ml (33 +/- 4%) and plasma osmolality unchanged following volume replacement. The contribution of the increase in plasma osmolality was assessed by bilateral intracarotid infusions of water at 0.6 ml/min/artery which lowered jugular venous plasma osmolality to euhydrated values (296 +/- 4 mosm/kg), but did not significantly reduce systemic plasma osmolality. Plasma vasopressin levels were significantly reduced 3.2 +/- 1.1 pg/ml (70 +/- 5%). Thus, following 24 h of fluid deprivation in dogs, the rise in pAVP is due to changes in both ECF volume and tonicity. The increase in tonicity plays a greater role in the elevation of pAVP, than the reduction in volume.

摘要

由于细胞外液(ECF)容量和张力的改变,脱水期间血浆血管加压素浓度(pAVP)会升高。在6只双侧颈动脉袢的犬中,评估了在禁水24小时(不禁食)后,容量减少和血浆渗透压升高对pAVP升高的影响。脱水显著(p<0.05)使血浆渗透压从297±1mOsm/kg升高至315±2mOsm/kg,体重从20.8±1.2kg降至20.3±1.2kg,pAVP从1.4±0.2pg/ml升高至5.3±0.6pg/ml。通过用0.15M NaCl使脱水犬的该腔室再扩张来测试细胞外液容量减少的影响。容量补充后,血浆血管加压素浓度显著降低1.3±0.2pg/ml(33±4%),而血浆渗透压未改变。通过以0.6ml/分钟/动脉的速度双侧颈内动脉输注水来评估血浆渗透压升高的作用,这使颈静脉血浆渗透压降至正常水合值(296±4mOsm/kg),但未显著降低全身血浆渗透压。血浆血管加压素水平显著降低3.2±1.1pg/ml(70±5%)。因此,犬禁水24小时后,pAVP的升高是由于ECF容量和张力的变化。张力升高在pAVP升高方面比容量减少起更大的作用。

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