Ackermann U
Am J Physiol. 1978 May;234(5):F386-92. doi: 10.1152/ajprenal.1978.234.5.F386.
The disappearance rate constant of radioiodinated human serum albumin (RIHSA) and 51Cr-tagged erythrocytes was measured in rats before and after intravenous, isoncotic blood volume expansion (6% bovine albumin; 75 or 33% of blood volume). Before volume expansion the average slope of the semilogarithmically plotted plasma RIHSA activity was -2.068 X 10(-3) +/- 0.146 X 10(-3) (SE) min-1. The slope was not significantly changed when tested by subsequent tracer injections which were made immediately after and 1 h after volume expansion. Preinfusion plasma volume (PV) was constant, but total erythrocyte volume (RCV) increased at a significant rate from 0.0253 +/- 0.0030 to 0.0300 +/- 0.0038 ml/g body wt over the 2-h period. PV was elevated and RCV was unchanged by the infusion, but both decreased significantly thereafter. The observed erythrocyte loss could not be accounted for by sampling or bleeding. Arterial hematocrit remained constant while RCV and PV were decreasing, and it was identical to whole-body hematocrit throughout. It was concluded that 1) isoncotic albumin expansion did not change the rate constant of transcapillary albumin loss; 2) nonsteady state PV could be calculated from a single preinfusion RIHSA dose; and 3) sequestration of blood may be a part of the rat's response to volume expansion.
在大鼠静脉内等渗性血容量扩充(6%牛白蛋白;血容量的75%或33%)前后,测量了放射性碘化人血清白蛋白(RIHSA)和51Cr标记红细胞的消失速率常数。在血容量扩充前,半对数绘制的血浆RIHSA活性的平均斜率为-2.068×10(-3)±0.146×10(-3)(标准误)分钟-1。在血容量扩充后立即及1小时后进行后续示踪剂注射测试时,该斜率无显著变化。输注前血浆体积(PV)恒定,但在2小时内,总红细胞体积(RCV)以显著速率从0.0253±0.0030增加至0.0300±0.0038毫升/克体重。输注使PV升高而RCV未改变,但此后两者均显著下降。观察到的红细胞丢失无法用采样或放血来解释。在RCV和PV下降时,动脉血细胞比容保持恒定,且始终与全身血细胞比容相同。得出的结论是:1)等渗白蛋白扩充未改变跨毛细血管白蛋白丢失的速率常数;2)非稳态PV可根据单次输注前RIHSA剂量计算得出;3)血液隔离可能是大鼠对血容量扩充反应的一部分。