Ackermann U
Pflugers Arch. 1980 Jul;386(2):111-9. doi: 10.1007/BF00584197.
In male Sprague-Dawley rats cardiac output (CO) was increased 0.16 ml/min x g body weight and inulin clearance was increased 2.2 ml/min x g kidney weight either by isovolemic hemodilution with 6% albumin solution or by isohemic expansion to 133% of control blood volume. Despite similar changes in CO and glomerular filtration (GFR), hemodilution caused a much smaller rise in renal excretion at a much later time than did volume expansion. Therefore, in addition to simultaneous changes in CO and GFR and afferent factor indicating a state of expanded extracellular fluid volume was required for normal diuresis and natriuresis. This might have been mean central venous pressure (CVP). In further experiments, volume expansion in vagotomized or non-vagotomized rats led to nearly identical changes in water-, sodium- and potassium excretion in both groups. The only other measured parameter that showed identical behaviour in the two groups was CVP. It was concluded that CVP is an important contributor to body fluid control mechanisms even after vagotomy.
在雄性Sprague-Dawley大鼠中,通过用6%白蛋白溶液进行等容血液稀释或通过等容扩容至对照血容量的133%,心输出量(CO)增加了0.16 ml/min×g体重,菊粉清除率增加了2.2 ml/min×g肾重。尽管CO和肾小球滤过率(GFR)有相似变化,但与容量扩张相比,血液稀释导致肾排泄增加的幅度小得多,且时间晚得多。因此,除了CO和GFR同时变化外,正常利尿和利钠还需要一个表明细胞外液容量扩张状态的传入因素。这可能是平均中心静脉压(CVP)。在进一步的实验中,迷走神经切断或未切断的大鼠进行容量扩张,两组的水、钠和钾排泄变化几乎相同。两组中表现出相同行为的唯一其他测量参数是CVP。得出的结论是,即使在迷走神经切断后,CVP也是体液控制机制的重要因素。