硫喷妥钠对家兔肾脏和肾素的影响。

Renal physiology Pub Date : 1987-01-01 DOI:10.1159/000173134
K W Cho, S H Kim, G Y Koh, K H Seul, H J Kim, H S Song
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引用次数: 6

摘要

观察单侧肾动脉输注硫喷妥钠对未麻醉家兔肾功能及肾素分泌的影响。剂量小于0.3 mg/kg/min的硫喷妥钠输注单侧肾动脉引起尿流量、尿中电解质排泄、部分钠排泄和游离水清除率呈剂量依赖性增加,而全身血压和对氨基马尿酸清除率(肾血流量)无变化。静脉给予麻醉剂量的硫喷妥钠可导致麻醉早期全身血压、肾脏血流动力学、尿流量和游离水清除率降低,随后尿钠排泄增加和部分钠排泄增加。单侧肾动脉输注硫喷妥钠降低肾素分泌率和肾静脉血浆去甲肾上腺素浓度,而麻醉剂量的静脉注射硫喷妥钠增加肾素分泌率。这些观察结果表明,硫喷妥钠的利尿、利钠和肾素抑制作用可能是由于抑制肾内交感神经系统或由于直接管作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Renal and renin effects of sodium thiopental in rabbits.
Unilateral renal arterial infusion of sodium thiopental on renal function and renin secretion were investigated in unanesthetized rabbits. Sodium thiopental infusion in doses of less than 0.3 mg/kg/min into unilateral renal artery caused dose-dependent increases in urine flow, urinary excretion of electrolytes, fractional excretion of sodium and free water clearance with no changes in systemic blood pressure and clearance of p-aminohippuric acid (renal blood flow). An anesthetic dose of sodium thiopental administered intravenously caused decreases in systemic blood pressure, renal hemodynamics, urine flow and free water clearance during the early period of anesthesia followed by increases in urinary excretion of sodium and fractional excretion of sodium. Unilateral renal arterial infusion of sodium thiopental decreased the renin secretion rate and plasma norepinephrine concentration in renal vein, whereas an anesthetic dose of sodium thiopental administered intravenously increased the renin secretion rate. These observations suggest that the diuretic, natriuretic and renin suppressive effects of sodium thiopental may be due to an inhibition of intrarenal sympathetic nervous system or due to a direct tubular action.
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