Grospietsch G, Ulbrich R, Saul U, Fenske M, Ensink F B, Kuhn W
Gynecol Obstet Invest. 1984;17(6):317-25. doi: 10.1159/000299169.
The effects of bolus injections of 1.0-80.0 micrograms/kg body weight fenoterol on urinary excretion, osmolarity and electrolytes were studied in unanesthetized, water-loaded rabbits. In animals infused initially with isotonic solution over 2 h with 60 ml/h and thereafter over 10 h with 45 ml/h, urine excretion was 538 ml/12 h, sodium excretion was 65.4 mmol/12 h, and potassium excretion was 4.8 mmol/12 h. In animals injected with 5.0-80.0 micrograms/kg body weight fenoterol, a strong antidiuresis occurred, lasting for 2 (10.0 micrograms/kg) to 4 h (80.0 micrograms/kg). Due to the strong antidiuresis, urinary osmolarity was significantly elevated for 2 (10.0 micrograms/kg) to 3 h (80.0 micrograms/kg). The changes of sodium excretion after fenoterol injection were very similar to those of urine excretion. Maximum reduction of sodium excretion was found after injection of 10.0-80.0 micrograms/kg body weight fenoterol, the effect lasting for 1 h (10.0 micrograms/kg) to 4 h (80.0 micrograms/kg). Potassium excretion was significantly reduced after injection of 5.0-80.0 micrograms/kg body weight fenoterol. In contrast to all the other parameters measured, potassium excretion remained significantly reduced until the end of the infusion period in animals treated with 10.0-80.0 micrograms/kg body weight fenoterol and was not dose dependent. Our data presented in this work extend earlier findings in the rabbit in that bolus injection of fenoterol also results in a drastic decrease of urine and electrolyte excretion. The results are discussed with special reference for the management of acute fetal distress with betamimetics and to the development of pulmonary edema that has been shown to occur under therapy with betamimetics on both female rabbits and humans.
在未麻醉、水负荷的家兔中研究了静脉注射1.0 - 80.0微克/千克体重的非诺特罗对尿排泄、渗透压和电解质的影响。在最初以60毫升/小时的速度输注等渗溶液2小时,随后以45毫升/小时的速度输注10小时的动物中,12小时的尿量排泄为538毫升,钠排泄为65.4毫摩尔/12小时,钾排泄为4.8毫摩尔/12小时。在注射5.0 - 80.0微克/千克体重非诺特罗的动物中,出现了强烈的抗利尿作用,持续2小时(10.0微克/千克)至4小时(80.0微克/千克)。由于强烈的抗利尿作用,尿渗透压在2小时(10.0微克/千克)至3小时(80.0微克/千克)内显著升高。非诺特罗注射后钠排泄的变化与尿量排泄的变化非常相似。在注射10.0 - 80.0微克/千克体重非诺特罗后发现钠排泄最大程度减少,其作用持续1小时(10.0微克/千克)至4小时(80.0微克/千克)。在注射5.0 - 80.0微克/千克体重非诺特罗后钾排泄显著减少。与所有其他测量参数相反,在用10.0 - 80.0微克/千克体重非诺特罗治疗的动物中,钾排泄在输注期结束前一直显著减少,且不依赖剂量。我们在这项工作中呈现的数据扩展了家兔早期的研究结果,即静脉注射非诺特罗也会导致尿液和电解质排泄急剧减少。结合β-拟交感神经药治疗急性胎儿窘迫的管理以及已证明在雌性家兔和人类中使用β-拟交感神经药治疗时会发生肺水肿的情况,对结果进行了讨论。