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人类肾缺血性高血压的血流动力学:分级液体撤除期间的研究。

Haemodynamics of renoprival hypertension in man: studies during graded fluid withdrawal.

作者信息

Man in 'T Veld A J, Schalekamp M A

出版信息

Clin Sci (Lond). 1980 Dec;59 Suppl 6:165s-167s. doi: 10.1042/cs059165s.

DOI:10.1042/cs059165s
PMID:7449254
Abstract
  1. Frequent measurements of arterial pressure, cardiac output, heart rate and body weight were carried out in three hypertensive anephric subjects during the reversal of hypertension by carefully controlled stepwise fluid withdrawal over a period of 24 days. 2. The initial 5% decrease of body weight was associated with decrements of arterial pressure and total peripheral resistance of 15 and 35% respectively, whereas cardiac output had risen by 25%. After a further decrease in body weight by 5%, arterial pressure was lowered another 15% without a change in total peripheral resistance, and cardiac output had returned to base line. 3. These data do not support the concept that whole-body autoregulation is an important factor in the pathogenesis of renoprival hypertension.
摘要
  1. 在3名高血压无肾受试者中,通过在24天内仔细控制逐步液体清除来逆转高血压,期间频繁测量动脉压、心输出量、心率和体重。2. 体重最初下降5%时,动脉压和总外周阻力分别下降15%和35%,而心输出量增加了25%。体重进一步下降5%后,动脉压又降低了15%,总外周阻力无变化,心输出量已恢复至基线水平。3. 这些数据不支持全身自动调节是肾缺如性高血压发病机制中一个重要因素的观点。

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