静脉滴注高渗盐水对绵羊肾功能及抗利尿激素分泌的影响。

N E Yesberg, M Henderson, O E Budtz-Olsen
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引用次数: 5

摘要

清醒的美利奴母羊静脉注射高渗氯化钠负荷4 mmol。这导致尿流量、钠和钾排泄、血浆钠浓度和渗透压增加。尿加压素输出和无溶质水重吸收增加,血浆肾素活性下降。肾血浆流量和肾小球滤过率(GFR)升高,溶质清除率升高。尿渗透压的变化与初始尿渗透压有关,当初始尿渗透压高时,尿液变得更稀,反之亦然。管状钠重吸收率增加,但分数重吸收率下降。这表明,GFR的增加至少部分是由于AVP的增加,电解质损失可以通过GFR的增加来解释,而不一定涉及AVP或其他小管水平的激素作用。
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The effect of intravenous hypertonic saline infusion on renal function and vasopressin excretion in sheep.

Conscious Merino ewes were given an intravenous hypertonic sodium chloride load of 4 mmol.min-1 for 100 min. This resulted in increases in urine flow, sodium and potassium excretion and plasma sodium concentration and osmolality. Urinary vasopressin output and solute-free water reabsorption increased and plasma renin activity declined. Renal plasma flow and glomerular filtration rate (GFR) rose, as did the solute clearance. The change in urinary osmolality was related to the initial urine osmolality such that when the initial urine osmolality was high the urine became more dilute, and vice versa. Tubular sodium reabsorption increased but the fractional reabsorption rate fell. It is suggested that the increase in GFR was at least partly due to the increase in AVP and that the electrolyte loss can be accounted for by the increase in GFR without necessarily involving AVP or other hormonal effects at the tubular level.

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