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[使用硝普钠或氯丙嗪进行间歇性腹膜透析时的腹膜血流量和腹膜转运参数]

[Peritoneal blood flow and peritoneal transfer parameters during intermittent peritoneal dialyses performed with administration of sodium nitroprusside or chlorpromazine].

作者信息

Grzegorzewska A, Barcz M, Kriczi M, Antoniewicz K

机构信息

Z Kliniki Nefrologii IChW, Akademii Medycznej, im. Karola Marcinkowskiego w Poznaniu.

出版信息

Przegl Lek. 1996;53(5):412-6.

PMID:8754403
Abstract

Effective peritoneal capillary blood flow (EPBF) was evaluated by calculation of diffusive mass transport coefficient of CO2 during intermittent peritoneal dialysis performed with intraperitoneal administration of sodium nitroprusside (NP, 5 mg/l of dialysis solution) or chlorpromazine (Cl-Prom, 2.5 mg/l of dialysis solution). Peritoneal transfer rates of substances of different molecular size and charge were simultaneously examined and compared with EPBF. During NP or Cl-Prom administration, EPBF was respectively 220 +/- 40 (n = 11) and 224 +/- 29 (n = 10) ml/min. These values were insignificantly higher than those obtained during dialyses without drugs (169 +/- 16 ml/min, n = 10). NP and Cl-Prom did not cause any significant changes in peritoneal transfer of CO2. Transfer rates of HCO3 and tCO2 were increased only with NP. Both drugs enhanced peritoneal removal of Na+, K+, urea, uric acid and total protein, but with similar EPBF during the use of both drugs, the effect of NP was more pronounced. The obtained results indicate that EPBF is not a major factor responsible for enhanced peritoneal transfer rates during dialyses performed with NP or Cl-Prom.

摘要

通过计算在腹腔内给予硝普钠(NP,5mg/升透析液)或氯丙嗪(氯丙嗪,2.5mg/升透析液)进行间歇性腹膜透析期间二氧化碳的扩散质量传输系数来评估有效腹膜毛细血管血流量(EPBF)。同时检查不同分子大小和电荷的物质的腹膜转运率,并与EPBF进行比较。在给予NP或氯丙嗪期间,EPBF分别为220±40(n = 11)和224±29(n = 10)ml/分钟。这些值略高于无药物透析期间获得的值(169±16ml/分钟,n = 10)。NP和氯丙嗪未引起二氧化碳腹膜转运的任何显著变化。仅NP使HCO3和tCO2的转运率增加。两种药物均增强了腹膜对Na +、K +、尿素、尿酸和总蛋白的清除,但在使用两种药物期间EPBF相似,NP的作用更明显。所得结果表明,EPBF不是在用NP或氯丙嗪进行透析期间腹膜转运率提高的主要因素。

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