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Effects of Acute Fluid Loss on Renal Concentrating Function

 

作者: Paul J. Kovnat,   K.Y. Lin,   D. Kikis,  

 

期刊: Nephron  (Karger Available online 1974)
卷期: Volume 13, issue 2  

页码: 152-160

 

ISSN:1660-8151

 

年代: 1974

 

DOI:10.1159/000180388

 

出版商: S. Karger AG

 

关键词: Osmolality;Concentrating;Sauna;Exercise;Fluid loss;Urine osmolality

 

数据来源: Karger

 

摘要:

The effects of acute fluid loss on renal concentrating function was measured in young athletes. Weights, bloods and urines on five athletes were evaluated before and after (a) basketball practice producing a 4-lb. weight loss and a slight rise in serum osmolality, (b) exercise plus exogenous ADH, (c) sauna bath in which a 4-lb. weight loss per athlete was sustained, and (d) sauna bath following water load. In each of these experimental situations urine osmolality either did not change or decreased slightly. During the sauna bath the urine osmolality, already depressed by the water load, changed little as the creatinine clearance, osmolar clearance, and fractional excretion of sodium decreased markedly. Over the next 2 h at rest at room temperature, the urine osmolality and creatinine clearance increased while the fractional excretion of sodium remained depressed. It is concluded that in acute fluid loss induced by exercise or sauna bath in normal subjects, there is a delay in enhancement of urine osmolality at a time when the glomerular filtration rate is greatly depressed.

 

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