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速尿诱导的血浆容量减少对正常人和高血压患者血浆抗利尿激素的影响。

Effects of furosemide-induced plasma volume reduction on plasma antidiuretic hormone in normal and hypertensive subjects.

作者信息

De Lima J, Caillens H, Beaufils M, Ardaillou R

出版信息

Clin Nephrol. 1981 May;15(5):246-51.

PMID:7018773
Abstract

Plasma antidiuretic hormone (ADH) was measured before and after furosemide administration in hypertensive patients (essential benign hypertensions with low plasma renin activity) and in normal subjects. Furosemide-induced reduction of plasma volume was about 10% after 2 hours. In normal subjects, plasma ADH rose progressively till the end of the study (1.5 pg/ml per hour corresponding to about 3 pg/ml per liter of plasma water lost) whereas it remained unchanged in hypertensive patients. There was an early increase of plasma renin activity (PRA) in normal subjects followed by a progressive fall. PRA response was blunted in hypertensive patients. These results show that volume-dependent ADH secretion is inhibited in patients with essential benign hypertension.

摘要

在高血压患者(原发性良性高血压且血浆肾素活性低)和正常受试者中,于给予呋塞米前后测量血浆抗利尿激素(ADH)。2小时后,呋塞米引起的血浆容量减少约为10%。在正常受试者中,血浆ADH逐渐上升直至研究结束(每小时上升1.5 pg/ml,相当于每丢失1升血浆水约上升3 pg/ml),而在高血压患者中其保持不变。正常受试者血浆肾素活性(PRA)早期升高,随后逐渐下降。高血压患者的PRA反应减弱。这些结果表明,原发性良性高血压患者中容量依赖性ADH分泌受到抑制。

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1
Effects of furosemide-induced plasma volume reduction on plasma antidiuretic hormone in normal and hypertensive subjects.速尿诱导的血浆容量减少对正常人和高血压患者血浆抗利尿激素的影响。
Clin Nephrol. 1981 May;15(5):246-51.
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Int J Clin Pharmacol Ther Toxicol. 1980 Sep;18(9):395-8.
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[Selected components of the kallikrein-kinin system and of the renin-angiotensin-aldosterone system in offspring of parents with hypertension].[高血压患者后代中激肽释放酶-激肽系统和肾素-血管紧张素-醛固酮系统的选定成分]
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