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稳态血浆血管加压素水平对肾内血流分布及电解质排泄的影响。

Effects of steady-state plasma vasopressin levels on the distribution of intrarenal blood flow on electrolyte excretion.

作者信息

Akatsuka N, Moran W H, Morgan M L, Wilson M F

出版信息

J Physiol. 1977 Apr;266(3):567-86. doi: 10.1113/jphysiol.1977.sp011782.

Abstract
  1. In order to evaluate the effects of arginine vasopressin (AVP) on the distribution of intrarenal blood flow and on electrolyte excretion, steady-state plasma AVP levels (4-8, 19-1, 44-3, and 100-6 micro u./ml.) were produced in anaesthetized dogs, which were hydrated to minimize endogenous anti-diuretic hormone (ADH) release. 2. The urinary excretion of sodium and potassium increased without change in their filtered loads during AVP infusion. 3. Measurement by the 133xenon washout method revealed diphasic blood flow shifts, as a function of the plasma AVP level, between compartment 1 (outer cortex) and compartment 2 (inner cortex and outer medulla) without change in compartment 3 (inner medulla). 4. In a separate study, the radioactive microsphere (15 micronm) method was used with a plasma AVP levels of 19-8 micronu./ml. Blood flow (expressed as % flow/g tissue) decreased in the outer cortex and increased in the inner cortex. 5. Total renal blood flow did not change during infusion of AVP. However, the values measured by 133xenon were lower than those measured by the microsphere method. 6. There was agreement between these two independent methods that blood flow shifted from outer to inner cortex, with no change in total renal flow, at similar plasma AVP levels (19-1 and 19-8 micronu./ml.). The relationship of these intrarenal circulatory changes to the increased electrolyte excretion is discussed.
摘要
  1. 为了评估精氨酸血管加压素(AVP)对肾内血流分布和电解质排泄的影响,在麻醉犬身上产生了稳态血浆AVP水平(4 - 8、19 - 1、44 - 3和100 - 6微单位/毫升),这些犬处于水合状态以尽量减少内源性抗利尿激素(ADH)的释放。2. 在输注AVP期间,钠和钾的尿排泄增加,而它们的滤过负荷没有变化。3. 通过133氙洗脱法测量发现,作为血浆AVP水平的函数,1区(外皮质)和2区(内皮质和外髓质)之间的血流发生双相变化,3区(内髓质)无变化。4. 在另一项研究中,使用放射性微球(15微米)法,血浆AVP水平为19 - 8微单位/毫升。外皮质的血流(以每克组织的血流百分比表示)减少,内皮质的血流增加。5. 在输注AVP期间,肾总血流量没有变化。然而,用133氙测量的值低于用微球法测量的值。6. 这两种独立方法一致表明,在相似的血浆AVP水平(19 - 1和19 - 8微单位/毫升)下,血流从外皮质向内皮质转移,肾总血流量无变化。讨论了这些肾内循环变化与电解质排泄增加之间的关系。

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本文引用的文献

1
Endogenous creatinine in serum and urine.血清和尿液中的内源性肌酐。
Proc Soc Exp Biol Med. 1950 May;74(1):148-51. doi: 10.3181/00379727-74-17837.
8
Partition coefficient of 133-xenon between various tissues and blood in vivo.
Scand J Clin Lab Invest. 1967;19(1):72-8. doi: 10.3109/00365516709093483.

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