Tost H, Kövér G
Department of Physiology, Semmelweis University Medical School, Budapest, Hungary.
Acta Physiol Hung. 1995;83(3):227-42.
Studies were carried out in anaesthetized dogs, to determine the effects of volume expansion induced by Ringer's solution, plasma taken from non-hydrated or previously volume expanded animals on the natriuretic response of the kidney. When the animals were infused with Ringer's solution (0.25 ml/kg/min iv.) water and sodium excretion increased gradually reaching a peak value at about 70 min. after starting the infusion (3.01 +/- 0.21 ml/min and 329 +/- 23.9 mmol/min, respectively). Infusing the dogs with plasma taken from non-hydrated animals (0.25 ml/kg/min iv.) water and sodium excretion showed a small increase in the first 15 min, but afterwards there was hardly any change in them, and water and sodium excretions were significantly less in the remaining part of the experiment than in with Ringer's solution expanded animals. (Peak values 1.44 +/- 0.53 ml/min and 193 +/- 85.3 mmol/min.) In animals infused with plasma taken from previously hydrated dogs (0.25 ml/kg/min iv.) water and sodium excretion were already after the first 15 min significantly higher than in the two other groups, they increased further in the following 15 to 30 minutes and remained elevated during the time of the study. (Peak values for water and sodium excretion being 3.30 +/- 0.58 ml/min and 344 +/- 73.5 mmol/l.) Blood pressure, CPAH and glomerular filtration rate were the same and did not change in either of the experimental series. We concluded, that besides the physical forces playing certainly a role mainly in the Ringer's solution hydrated dogs, some humoral natriuretic factor liberated in the volume expanded animals plays also a role in the diuretic-natriuretic response. This humoral factor can be released from the atria or other organs, but its production is not primarily regulated by intravasal volume/or pressure changes.
在麻醉犬身上进行了多项研究,以确定林格氏液、取自未水化或先前已扩容动物的血浆所诱导的容量扩张对肾脏利钠反应的影响。当给动物静脉输注林格氏液(0.25 ml/kg/min)时,水和钠排泄量逐渐增加,在输注开始后约70分钟达到峰值(分别为3.01±0.21 ml/min和329±23.9 mmol/min)。给犬输注从未水化动物获取的血浆(0.25 ml/kg/min静脉输注),水和钠排泄量在最初15分钟有小幅增加,但之后几乎没有变化,且在实验剩余部分,水和钠排泄量显著低于用林格氏液扩容的动物(峰值分别为1.44±0.53 ml/min和193±85.3 mmol/min)。给动物输注先前已水化犬的血浆(0.25 ml/kg/min静脉输注),水和钠排泄量在最初15分钟后就显著高于其他两组,在接下来的15至30分钟进一步增加,并在研究期间保持升高(水和钠排泄量峰值分别为3.30±0.58 ml/min和344±73.5 mmol/l)。血压、对氨基马尿酸清除率和肾小球滤过率在任何一个实验系列中均相同且未发生变化。我们得出结论,除了物理因素肯定在主要用林格氏液水化的犬中起作用外,在容量扩张动物中释放的某种体液利钠因子在利尿 - 利钠反应中也起作用。这种体液因子可从心房或其他器官释放,但其产生并非主要受血管内容量/压力变化调节。