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24小时后,人体白蛋白输注无法模拟运动诱导的血容量过多。

Albumin infusion in humans does not model exercise induced hypervolaemia after 24 hours.

作者信息

Haskell A, Gillen C M, Mack G W, Nadel E R

机构信息

John B. Pierce Laboratory, New Haven, CT 06519, USA.

出版信息

Acta Physiol Scand. 1998 Nov;164(3):277-84. doi: 10.1046/j.1365-201X.1998.00431.x.

Abstract

We rapidly infused 234 +/- 3 mL of 5% human serum albumin in eight men while measuring haematocrit, haemoglobin concentration, plasma volume (PV), albumin concentration, total protein concentration, osmolality, sodium concentration, renin activity, aldosterone concentration, and atrial natriuretic peptide concentration to test the hypotheses that plasma volume expansion and plasma albumin content expansion will not persist for 24 h. Plasma volume and albumin content were expanded for the first 6 h after infusion (44.3 +/- 1.9-47.2 +/- 2.0 mL kg-1 and 1.9 +/- 0.1-2.1 +/- 0.1 g kg-1 at pre-infusion and 1 h, respectively, P < 0.05), but by 24 h plasma volume and albumin content decreased significantly from 1 h post-infusion and were not different from pre-infusion (44.8 +/- 1.9 mL kg-1 and 1.9 +/- 0.1 g kg-1, respectively). Plasma aldosterone concentration showed a significant effect of time over the 24 h after infusion (P < 0.05), and showed a trend to decrease at 2 h after infusion (167.6 +/- 32.5(-1) 06.2 +/- 13.4 pg mL-1, P = 0.07). These data demonstrate that a 6.8% expansion of plasma volume and 10.5% expansion of plasma albumin content by infusion does not remain in the vascular space for 24 h and suggest a redistribution occurs between the intravascular space and interstitial fluid space.

摘要

我们在8名男性中快速输注了234±3 mL的5%人血清白蛋白,同时测量血细胞比容、血红蛋白浓度、血浆容量(PV)、白蛋白浓度、总蛋白浓度、渗透压、钠浓度、肾素活性、醛固酮浓度和心房利钠肽浓度,以检验血浆容量扩张和血浆白蛋白含量扩张不会持续24小时的假设。输注后的前6小时血浆容量和白蛋白含量增加(输注前和输注后1小时分别为44.3±1.9 - 47.2±2.0 mL·kg⁻¹和1.9±0.1 - 2.1±0.1 g·kg⁻¹,P<0.05),但到24小时时,血浆容量和白蛋白含量从输注后1小时显著下降,且与输注前无差异(分别为44.8±1.9 mL·kg⁻¹和1.9±0.1 g·kg⁻¹)。血浆醛固酮浓度在输注后的24小时内显示出显著的时间效应(P<0.05),并在输注后2小时呈下降趋势(167.6±32.5(-1) 06.2±13.4 pg·mL⁻¹,P = 0.07)。这些数据表明,通过输注使血浆容量扩张6.8%和血浆白蛋白含量扩张10.5%在24小时内不会保留在血管空间内,提示在血管内空间和组织间隙液空间之间发生了再分布。

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