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犬经体静脉和门静脉输注林格液后肾功能的比较。

A comparison of renal function following the infusion of Ringer solution into systemic and portal veins in the dog.

作者信息

Kövér G, Szemerédi K, Tost H

出版信息

Acta Physiol Hung. 1984;63(2):101-9.

PMID:6741559
Abstract

The increase of sodium and water excretion by the kidney following intravenous Ringer solution infused into a femoral vein (vena femoralis) or into an intestinal vein (vena portae ) has been studied in anaesthetized dogs. The functional parameters of renal function have been compared during volume expansion with 1.5-2.0% of body weight Ringer solution and "over-hydration" by 2.5% Ringer loading over 60 minutes. No significant difference in sodium excretion and urine output resulted from 0.25 ml/kg/min Ringer solution when infused by the two routes. When the animals were infused with 2.5% body weight Ringer solution (0.66 ml/kg/min i.v.), a marked increase in water excretion was observed with a smaller increment in sodium excretion, and the urine became hyposmotic as compared with the plasma osmolarity. No difference has been found in the glomerular filtration rate and in the PAH clearance. Glomerular filtration rate, sodium excretion and urine flow rate were not significantly different for the two routes when the same Ringer solution load was infused. These experiments did not provide evidence for the participation of the liver in the control of sodium excretion during extracellular fluid volume expansion induced by Ringer solution infusion.

摘要

在麻醉犬身上研究了经股静脉(股静脉)或肠静脉(门静脉)静脉输注林格液后肾脏钠和水排泄的增加情况。在通过输注占体重1.5 - 2.0%的林格液进行容量扩张以及在60分钟内通过输注2.5%林格液进行“过度水化”期间,对肾功能的功能参数进行了比较。当以0.25 ml/kg/min的速度经两种途径输注林格液时,钠排泄和尿量没有显著差异。当给动物输注占体重2.5%的林格液(静脉注射0.66 ml/kg/min)时,观察到水排泄显著增加,钠排泄增加较少,并且与血浆渗透压相比,尿液变为低渗。肾小球滤过率和对氨基马尿酸清除率没有差异。当输注相同量的林格液时,两种途径的肾小球滤过率、钠排泄和尿流率没有显著差异。这些实验没有提供证据表明肝脏参与了林格液输注引起的细胞外液容量扩张期间钠排泄的控制。

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