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慢性输注精氨酸加压素对限盐、禁水男性的影响。

The effects of a chronic infusion of arginine vasopressin in salt-restricted, water-deprived man.

作者信息

Drew P J, Barnes J N, Holly J M, Knight A, Goodwin F J

出版信息

Clin Sci (Lond). 1984 Sep;67(3):353-8. doi: 10.1042/cs0670353.

Abstract

The effects of a 48 h infusion of arginine vasopressin (AVP) were measured in five separate studies on four normal salt-restricted physicians, in whom fluid retention was prevented. The infusion was associated with an increase in renal sodium excretion which continued during the 24 h after the infusion had been discontinued. During the infusion plasma renin activity (PRA), plasma aldosterone and noradrenaline, and packed cell volume (PCV) fell; glomerular filtration rate, assessed by endogenous creatinine clearance, increased. The findings are best explained by a vasopressin-induced increase in plasma volume, which in the absence of fluid retention is likely to have been due to a redistribution of body water.

摘要

在四项针对四名正常限盐的医生进行的独立研究中,测量了48小时输注精氨酸加压素(AVP)的效果,这些医生的液体潴留得到了预防。输注与肾钠排泄增加有关,这种增加在输注停止后的24小时内仍持续。输注期间,血浆肾素活性(PRA)、血浆醛固酮和去甲肾上腺素以及血细胞比容(PCV)下降;通过内生肌酐清除率评估的肾小球滤过率增加。这些发现最好的解释是加压素引起的血浆量增加,在没有液体潴留的情况下,这可能是由于身体水分的重新分布所致。

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