[细胞外液体积对体液动力学意义的隔室分析]。

B Pir'ova, N Vrabchev
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引用次数: 0

摘要

研究了犬单次静脉给药150 mg/kg的肌酸酐后,血浆中指标物质肌酸酐浓度在120 ~ 240 min内的下降曲线。使用指示物质的两室分布模型,第一个室是在鼻腔内,而第二个是在体液间质。估计以下参数:肾清除率、分布容积、肾小球滤过、室间清除率和两个室间运输的速度常数。静脉滴注2%氯化钠溶液(30ml /kg)可引起细胞外液(ECF)体积增加。腹膜透析用体重5%的葡萄糖等渗溶液可引起ECF体积的减少。ECF体积增加后,分布体积增加,肾小球滤过升高,从静脉内到间质液的运输速度常数降低。分布体积减小,肾小球滤过受限,转运速度常数增大。已确定的转运速度常数的变化表明体液动力学的变化,这可能是由于血管收缩或血管舒张作为ECF体积变化过程中肌源性自我调节的机制。
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[A compartment analysis of the significance of extracellular fluid volume for body fluid dynamics].

The curve of a reduction in plasma concentration of the indicator substance creatinine for a period of 120 to 240 min was investigated after single intravenous administration of creatinine in a dose of 150 mg/kg on dogs. A model for two compartment distribution of the indicator substance was used as the first compartment was intravasal, but the second--interstitial space of body fluids. The following parameters were estimated: renal clearance, volume of distribution, glomerular filtration, intercompartment clearance and velocity constants of transport between the two compartments. An increase of the volume of extracellular fluid (ECF) was induced by intravenous infusion of 2% of sodium chloride solution in the amount of 30 ml/kg. A reduction in the volume of ECF was caused by peritoneal dialysis with isotonic solution of glucose in the amount of 5% of the body mass. After an increase of the volume of ECF there was an increase in the volume of distribution, elevation of glomerular filtration and a reduction in the velocity constant of transport from the intravasal to interstitial fluid. There was a reduction in the volume of distribution, limitation of glomerular filtration and increment of velocity constant of the transport. The established changes in the velocity constants of the transport showed changes in the dynamics of body fluids, which could be due to vasoconstriction or vasodilation as a mechanism of myogenic autoregulation during changes in the volume of ECF.

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