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静脉注射乙二胺四乙酸二钠所致的低钙血症及其对采食高氯日粮奶牛尿钙排泄的影响

Hypocalcemia induced by intravenous administration of disodium ethylenediaminotetraacetate and its effects on excretion of calcium in urine of cows fed a high chloride diet.

作者信息

Schonewille J T, Van't Klooster A T, Wouterse H, Beynen A C

机构信息

Department of Large Animal Medicine and Nutrition, Faculty of Veterinary Medicine, Utrecht University, The Netherlands.

出版信息

J Dairy Sci. 1999 Jun;82(6):1317-24. doi: 10.3168/jds.S0022-0302(99)75355-5.

Abstract

Evidence supports the theory that a diet that is rich in nonmetabolizable anions fed to dairy cows during the dry period reduces the risk of hypocalcemic paresis puerperalis. When cows are fed a diet that is rich in anions instead of cations, more Ca is absorbed in the intestine and excreted in urine. We hypothesized that, in cows fed a diet that was rich in anions, the increased flow of Ca through the body could be drained to support the maintenance of plasma Ca concentration around parturition. The hypothesis was tested by binding plasma Ca through intravenous administration of Na2-EDTA and measuring excretion of Ca in urine. In a 2-period x 14-d crossover study, six, nonpregnant, nonlactating, multiparous cows were fed either a diet that was rich in cations (dietary cation-anion difference = +332 meq/kg of dry matter) or rich in anions (dietary cation-anion difference = -230 meq/kg of dry matter). On the last day of each feeding period, Na2-EDTA was infused intravenously until the amount of plasma Ca that was not bound to EDTA reached approximately 1 mmol/L. The amount of EDTA that could be infused was significantly greater when the cows were fed the diet that was rich in anions. During the infusion of Na2-EDTA the rate of Ca excretion in urine dropped to almost 0 when the diet that was rich in anions was fed. After feeding the diet that was rich in cations, excretion of Ca in urine was negligible and was not reduced further by Na2-EDTA infusion. Thus, in cows fed a diet that was rich in anions, the Ca intended for excretion with urine can be used when plasma Ca is under stress as would occur at the onset of lactation. However, the amount of Ca derived from plasma, interstitial fluid, and the skeleton during Na2-EDTA infusion was quantitatively much more important to the supply of Ca than was the reduction in excretion of Ca in urine. Most likely, this relationship would also be true when the production of colostrum begins.

摘要

有证据支持这样一种理论,即在干奶期给奶牛饲喂富含不可代谢阴离子的日粮可降低产后低钙血症性轻瘫的风险。当给奶牛饲喂富含阴离子而非阳离子的日粮时,更多的钙会在肠道中被吸收并随尿液排出。我们推测,在饲喂富含阴离子日粮的奶牛中,钙在体内的增加流动可以被排出,以支持分娩前后血浆钙浓度的维持。通过静脉注射Na2-EDTA结合血浆钙并测量尿钙排泄来检验这一假设。在一项为期2期、为期14天的交叉研究中,六头未怀孕、未泌乳的经产奶牛被饲喂富含阳离子的日粮(日粮阳离子-阴离子差=+332 meq/kg干物质)或富含阴离子的日粮(日粮阳离子-阴离子差=-230 meq/kg干物质)。在每个饲喂期的最后一天,静脉注射Na2-EDTA,直到未与EDTA结合的血浆钙量达到约1 mmol/L。当奶牛饲喂富含阴离子的日粮时,可注射的EDTA量显著更大。在注射Na2-EDTA期间,当饲喂富含阴离子的日粮时,尿钙排泄率降至几乎为0。在饲喂富含阳离子的日粮后,尿钙排泄可忽略不计,并且不会因注射Na2-EDTA而进一步降低。因此,在饲喂富含阴离子日粮的奶牛中,当血浆钙处于应激状态(如泌乳开始时)时,原本随尿液排出的钙可以被利用。然而,在注射Na2-EDTA期间,来自血浆、组织液和骨骼的钙量对钙供应的定量贡献比尿钙排泄减少更为重要。最有可能的是,当初乳开始分泌时,这种关系也会成立。

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