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实验性慢性高碳酸血症中的骨电解质(作者译)

[Bone electrolytes in experimental chronic hypercapnia (author's transl)].

作者信息

Claudon F, Reichart E, Bolot J F, Berstein S, Sablière S

出版信息

Bull Eur Physiopathol Respir. 1976 Jan-Feb;12(1):55-68.

PMID:1016778
Abstract

The role of the skeleton in electrolyte equilibrium, well known for various diseases, remains difficult to understand during chronic hypercapnia. An experimental study of normoxic (O2:21%) hypercapnia (CO2:8 +/- 1%) was carried out for two, four and six weeks, followed by a systematic quantitative determination, in thigh-bone samples of Na+, K+, Ca++, PO4--, N2 and CO2 in 72 rats, and of total H2O and extracellular H2O (H2Oe) in 129 rats. Considering the mean values of groups (from 16 to 42 subjects for each group), at various times of hypercapnia, bone K+ was increased during hypercapnia (+3 to 4 X 10(-3) mEq/g fresh tissue), Ca++ diminished (--12.5 to 15.4 mEq). PO4-- and Na+ temporarily decreased at two and four weeks of hypercapnia. On account of the scatter of individual results, only the variation of K+ was statistically significant (at two weeks). This increase in bone K+, accompanying a partially compensated acidaemia, is to compare with the significant hyperkaliemia observed at two and four weeks, whereas this period is characterized by a decrease in K+ in skeletal muscle, as shown in a previous work. In a group of 72 rats, the analysis of correspondances and correlations points out the bone CO2 as a very significant variable, opposite to the variable H2Oe. PO4--is positively correlated to Na+. The complexity of the results does not permit a decisive interpretation of the phenomenon. On the other hand, this study corroborates the bone calcium loss and reveals the gain in bone potassium during hypercapnia.

摘要

骨骼在电解质平衡中的作用在各种疾病中已广为人知,但在慢性高碳酸血症期间仍难以理解。对72只大鼠进行了为期两周、四周和六周的常氧(O₂:21%)高碳酸血症(CO₂:8±1%)实验研究,随后对其大腿骨样本中的Na⁺、K⁺、Ca²⁺、PO₄³⁻、N₂和CO₂进行系统定量测定,并对129只大鼠的总水和细胞外水(H₂Oe)进行测定。考虑到各组的平均值(每组16至42只动物),在高碳酸血症的不同时间,高碳酸血症期间骨K⁺增加(+3至4×10⁻³mEq/g新鲜组织),Ca²⁺减少(-12.5至15.4mEq)。高碳酸血症两周和四周时,PO₄³⁻和Na⁺暂时下降。由于个体结果的离散性,只有K⁺的变化具有统计学意义(两周时)。骨K⁺的这种增加伴随着部分代偿性酸血症,这与在两周和四周时观察到的显著高钾血症形成对比,而如先前研究所示,这一时期骨骼肌中的K⁺减少。在一组72只大鼠中,对应关系和相关性分析指出骨CO₂是一个非常显著的变量,与变量H₂Oe相反。PO₄³⁻与Na⁺呈正相关。结果的复杂性不允许对该现象进行决定性解释。另一方面,本研究证实了高碳酸血症期间骨钙流失并揭示了骨钾增加。

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