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麻醉犬肝肾反射的增益

The gain of the hepatorenal reflex in anesthetized dogs.

作者信息

Sugimoto I, Okada K, Murakami H, Nishida Y, Kosaka H, Morita H, Okada M

机构信息

Department of Physiology, Kagawa Medical University, Miki, Japan.

出版信息

J Auton Nerv Syst. 1998 Feb 5;68(3):164-70. doi: 10.1016/s0165-1838(97)00131-8.

Abstract

To determine the overall gain of the hepatorenal reflex, hypertonic NaCl solutions were infused into the portal vein or inferior vena cava of anesthetized dogs at a rate of 0.01 ml/kg/min for 30 min and the urinary Na excretion measured. Infusion of 2.25% NaCl into either the portal vein or inferior vena cava had no effect. Portal infusion of 4.5% or 9% NaCl produced an increase of 36 +/- 16 or 40 +/- 17 microeq/kg/30 min, respectively, while inferior vena caval infusion had no effect. With 13.5% NaCl infusion, a significant increase in the natriuretic response was seen with portal venous infusion, with no significant difference between portal venous and inferior vena caval infusion. Thus, the difference in the natriuretic response between portal venous and inferior vena caval infusion was dependent on the degree of input; when an appropriate input was given, natriuresis was induced only by portal venous infusion, probably mediated by the hepatorenal reflex. The gain of the hepatorenal reflex was calculated from the output divided by the input. When 4.5% or 9% NaCl was infused into the portal vein, the 2-h gain of the hepatorenal reflex was 0.38 +/- 0.15 or 0.34 +/- 0.14, respectively.

摘要

为了确定肝肾反射的总体增益,以0.01 ml/kg/分钟的速率将高渗氯化钠溶液输注到麻醉犬的门静脉或下腔静脉中,持续30分钟,并测量尿钠排泄量。向门静脉或下腔静脉输注2.25%的氯化钠均无效果。门静脉输注4.5%或9%的氯化钠分别使尿钠排泄量增加36±16或40±17微当量/千克/30分钟,而下腔静脉输注则无效果。输注13.5%的氯化钠时,门静脉输注时利钠反应显著增加,门静脉输注与下腔静脉输注之间无显著差异。因此,门静脉输注与下腔静脉输注之间利钠反应的差异取决于输入程度;当给予适当输入时,仅门静脉输注可诱导利钠作用,可能由肝肾反射介导。肝肾反射的增益通过输出除以输入来计算。当向门静脉输注4.5%或9%的氯化钠时,肝肾反射的2小时增益分别为0.38±0.15或0.34±0.14。

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