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奶牛经标准化乙二胺四乙酸(EDTA)输注诱导低钙血症期间的血浆钙、无机磷和镁水平

Plasma calcium, inorganic phosphate and magnesium during hypocalcaemia induced by a standardized EDTA infusion in cows.

作者信息

Mellau L S, Jørgensen R J, Enemark J M

机构信息

Cattle Production Medicine Research Group, Clinical Department, Large Animal Medicine, Royal Veterinary and Agricultural University, Frederiksberg, Denmark.

出版信息

Acta Vet Scand. 2001;42(2):251-60. doi: 10.1186/1751-0147-42-251.

Abstract

The intravenous Na2EDTA infusion technique allows effective specific chelation of circulating Ca2+ leading to a progressive hypocalcaemia. Methods previously used were not described in detail and results obtained by monitoring total and free ionic calcium were not comparable due to differences in sampling and analysis. This paper describes a standardized EDTA infusion technique that allowed comparison of the response of calcium, phosphorus and magnesium between 2 groups of experimental cows. The concentration of the Na2EDTA solution was 0.134 mol/l and the flow rate was standardized at 1.2 ml/kg per hour. Involuntary recumbency occurred when ionised calcium dropped to 0.39-0.52 mmol/l due to chelation. An initial fast drop of ionized calcium was observed during the first 20 min of infusion followed by a fluctuation leading to a further drop until recumbency. Pre-infusion [Ca2+] between tests does not correlate with the amount of EDTA required to induce involuntary recumbence. Total calcium concentration measured by atomic absorption remained almost constant during the first 100 min of infusion but declined gradually when the infusion was prolonged. The concentration of inorganic phosphate declined gradually in a fluctuating manner until recumbency. Magnesium concentration remained constant during infusion. Such electrolyte responses during infusion were comparable to those in spontaneous milk fever. The standardized infusion technique might be useful in future experimental studies.

摘要

静脉输注Na2EDTA技术可有效特异性螯合循环中的Ca2+,导致血钙逐渐降低。先前使用的方法未详细描述,且由于采样和分析的差异,监测总钙和游离离子钙所获得的结果无法进行比较。本文描述了一种标准化的EDTA输注技术,该技术可比较两组实验奶牛钙、磷和镁的反应。Na2EDTA溶液的浓度为0.134 mol/l,流速标准化为每小时1.2 ml/kg。由于螯合作用,当离子钙降至0.39 - 0.52 mmol/l时会出现非自愿躺卧。输注开始的20分钟内观察到离子钙最初快速下降,随后波动,直至躺卧前进一步下降。试验前的[Ca2+]与诱导非自愿躺卧所需的EDTA量无关。通过原子吸收法测得的总钙浓度在输注的前100分钟内几乎保持恒定,但输注延长时逐渐下降。无机磷酸盐浓度以波动方式逐渐下降,直至躺卧。输注过程中镁浓度保持恒定。输注期间的这种电解质反应与自发性产乳热中的反应相当。标准化输注技术可能对未来的实验研究有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2032/2202322/47987f398a61/1751-0147-42-251-1.jpg

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