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不同剂量乙醇摄入后的24小时液体摄入量及肾脏对电解质的处理

Twenty-four-hour fluid intake and renal handling of electrolytes after various doses of ethanol.

作者信息

Sargent W Q, Simpson J R, Beard J D

出版信息

Alcohol Clin Exp Res. 1980 Jan;4(1):74-83. doi: 10.1111/j.1530-0277.1980.tb04795.x.

Abstract

The effects of single ethanol doses on fluid and electrolyte metabolism were studied in 31 male mongrel dogs. The animals were given either 0.75 g/kg 1.50 g/kg, or 2.25 g/kg of a 25% (v/v) ethanol solution or isovolumetric quantities of water. Fluid intake, urine output, and electrolyte (Na, K, Cl, Mg) excretions were measured at 0--3, 3--8, and 8--24 hr. During the ascending portion of the plasma ethanol curve (0--3 hr) there was a diuresis and renal magnesium loss in the two highest dosage ethanol groups. During the initial portion of the descending plasma ethanol curve (3--8 hr), each ethanol group had a significant elevation in voluntary intake. At 8--24 hr, renal retention of sodium, potassium, and chloride was found in the 1.5 and 2.25 g/kg groups, and magnesium excretion was also reduced in the 2.25 g/kg group. Over the 0--24 hr, none of the ethanol groups showed fluid loss, while the 2.25 g/kg ethanol group had significant retention of water. The administration of the 2.25 g/kg ethanol dose also resulted in 24-hr retention of sodium and potassium.

摘要

在31只雄性杂种犬身上研究了单次给予乙醇对液体和电解质代谢的影响。给动物分别给予0.75 g/kg、1.50 g/kg或2.25 g/kg的25%(v/v)乙醇溶液或等体积的水。在0至3小时、3至8小时和8至24小时测量液体摄入量、尿量和电解质(钠、钾、氯、镁)排泄量。在血浆乙醇曲线的上升部分(0至3小时),两个最高剂量乙醇组出现利尿和肾镁丢失。在血浆乙醇曲线下降的初始部分(3至8小时),每个乙醇组的自主摄入量均显著升高。在8至24小时,1.5 g/kg和2.25 g/kg组出现肾钠、钾和氯潴留,2.25 g/kg组的镁排泄也减少。在0至24小时内,没有乙醇组出现液体丢失,而2.25 g/kg乙醇组出现显著的水潴留。给予2.25 g/kg乙醇剂量还导致24小时钠和钾潴留。

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