Dorigotti L, Semeraro C
Eur J Pharmacol. 1980 Oct 17;67(2-3):275-82. doi: 10.1016/0014-2999(80)90508-7.
The vasodilator antihypertensive propildazine acutely administered in awake dogs (0.1 mg/kg i.v.) produced an arterial blood pressure drop accompanied by tachycardia, decreased urine volume and urinary sodium excretion, and increased urinary potassium excretion. A transient, quickly reversible decrease in glomerular filtration rate was observed; on the contrary, the reduction in urine volume and urinary sodium excretion was longer lasting. There was indirect evidence that sodium retention was mainly caused by increased tubular reabsorption. Decreases in renal resistance, renal extraction of p-aminohippurate, and filtration fraction were observed together with an increase in renal plasma flow. Propildazine at the above dose in combination with propranolol (1 mg/kg i.v.) had a hypotensive effect with a smaller increase in heart rate and without significant variations in urine volume or urinary sodium excretion. These effects could be attributed to antagonism of the reflex-activated sympathoadrenal system by propranolol. In these conditions, the glomerular filtration rate was not significantly modified, while the effects on other renal parameters were similar to those observed with propildazine.
血管扩张剂降压药丙酰奋乃静在清醒犬中急性给药(静脉注射0.1mg/kg)会导致动脉血压下降,同时伴有心动过速、尿量减少、尿钠排泄减少以及尿钾排泄增加。观察到肾小球滤过率出现短暂且可快速逆转的下降;相反,尿量和尿钠排泄的减少持续时间更长。有间接证据表明钠潴留主要是由肾小管重吸收增加引起的。观察到肾血管阻力降低、对氨基马尿酸肾清除率降低以及滤过分数降低,同时肾血浆流量增加。上述剂量的丙酰奋乃静与普萘洛尔(静脉注射1mg/kg)联合使用具有降压作用,心率增加幅度较小,尿量或尿钠排泄无显著变化。这些作用可归因于普萘洛尔对反射激活的交感肾上腺系统的拮抗作用。在这些情况下,肾小球滤过率无显著改变,而对其他肾脏参数的影响与丙酰奋乃静单独给药时观察到的相似。