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犬实验性醛固酮增多症高血压

Experimental aldosterone hypertension in the dog.

作者信息

Pan Y J, Young D B

出版信息

Hypertension. 1982 Mar-Apr;4(2):279-87. doi: 10.1161/01.hyp.4.2.279.

DOI:10.1161/01.hyp.4.2.279
PMID:7040227
Abstract

Sequential changes in arterial pressure, renal function, body fluid, and electrolyte balance, and several hemodynamic variables were examined during chronic intravenous infusion of aldosterone (14 micrograms/kg/day) in eight conscious dogs maintained on 250 mEq/day sodium and 140 mEq/day potassium intake. Arterial pressure gradually increased and stabilized at 132% +/- 3% (p less than 0.05) of the control value on the 16th day of aldosterone infusion, and cardiac output remained within the normal range. Coinciding with the rise in arterial pressure on the first 2 days of infusion was a marked retention of water and sodium and a rise in extracellular fluid volume and blood volume. Blood volume increased from a baseline value of 64.0 +/- 0.3 ml/kg to 70.7 +/- 1.9 ml/kg (p less than 0.05) on Day 4 and extracellular fluid volume increased from 318 +/- 5 ml/kg to 352 +/- 11 ml/kg (p less than 0.05) on Day 3 of infusion. Both blood volume and extracellular fluid volume remained elevated during infusion. Mean circulatory filling pressure increased from the baseline volume of 9.7 +/- 0.4 mm Hg to an average of 11.7 +/- 0.3 mm Hg (p less than 0.05) during the experimental period. The elevation of mean circulatory filling pressure suggested that this increase may be an essential component in the onset and maintenance of hypertension.

摘要

在八只清醒犬中,每日静脉输注醛固酮(14微克/千克/天),同时维持每日250毫当量钠和140毫当量钾的摄入量,在此慢性输注过程中,检测了动脉血压、肾功能、体液、电解质平衡以及几个血流动力学变量的顺序变化。在醛固酮输注的第16天,动脉血压逐渐升高并稳定在对照值的132%±3%(p<0.05),心输出量保持在正常范围内。在输注的前2天,与动脉血压升高同时出现的是水和钠的显著潴留以及细胞外液量和血容量的增加。血容量从基线值64.0±0.3毫升/千克增加到输注第4天的70.7±1.9毫升/千克(p<0.05),细胞外液量从输注第3天的318±5毫升/千克增加到352±11毫升/千克(p<0.05)。在输注过程中,血容量和细胞外液量均保持升高。平均循环充盈压从基线值9.7±0.4毫米汞柱在实验期间平均升高到11.7±0.3毫米汞柱(p<0.05)。平均循环充盈压的升高表明这种增加可能是高血压发生和维持的一个重要组成部分。

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