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沙拉新对巴特综合征及失代偿期肝硬化患者血压和肾功能的影响(作者译)

[The influence of saralasine on blood pressure and renal function in Bartter's syndrome and decompensated hepatic cirrhosis (author's transl)].

作者信息

Klaus D, Witzgall H, Zehner J, Dürr H, Lange H

出版信息

Dtsch Med Wochenschr. 1976 Sep 10;101(37):1357-9.

PMID:954592
Abstract

Infusion of the angiotensin-II-antagonist saralasine led in one patient with Bartter's syndrome and one patient with decompensated hepatic cirrhosis, both of whom had a markedly raised plasma renin activity, to a fall in systolic and diastolic blood pressure. The results indicate that in normotensive patients a raised angiotensin II concentration in blood is haemodynamically important for the level of blood pressure if plasma renin activity is raised. In normotensives with normal plasma renin activity saralasine in the usual dosage (4.2 mug/kg-min) does not influence the blood pressure.

摘要

给一名患有巴特综合征的患者和一名失代偿期肝硬化患者输注血管紧张素 II 拮抗剂沙拉新,这两名患者的血浆肾素活性均显著升高,结果导致收缩压和舒张压下降。结果表明,在血压正常的患者中,如果血浆肾素活性升高,血液中血管紧张素 II 浓度升高对血压水平具有血流动力学意义。在血浆肾素活性正常的血压正常者中,通常剂量(4.2微克/千克·分钟)的沙拉新不会影响血压。

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