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关于早产儿和小于胎龄儿对胃肠外给予氨基酸利用情况的研究。II. 短期输注L-氨基酸混合物后氨基酸消除半衰期、消除常数、转运和清除率的研究(作者译)

[Investigations on the utilisation of parenterally administered amino acids by premature and small-for-dates neonates. II. Investigations of elimination half life time, elimination constants, transfer and clearances of amino acids after short-time infusion of L-amino acid mixtures (author's transl)].

作者信息

Bürger U, Wolf H, Meissner S

出版信息

Z Kinderheilkd. 1975 Aug 11;120(2):87-99.

PMID:1163079
Abstract

10 ml/kg body weight of a 5% standardized L-amino-acid-mixture was given within the first 25 days to 25 prematurely born infants of 32--37 weeks gestationale and 5 small-for-dates newborns. We studied the metabolic kinetics of these amino acids in the serum and calculated elimination half life time, elimination constants, clearance and transfer rates of the single amino acids. The results were correlated with sex, nutritional state and age. 5 additional experiments were performed with 3 prematurely born infants and 2 small-for-dates newborns. The following results were of special interests: 1. Nearly all amino-acids had half life times between 30 and 50 min. Ornithine and tryptophane were more (half life time: 70 and about 50 min, respectively) slowly eliminated, while arginine and glutamic acid had half life times of between 5 and 15 min. 2. There was no statistically significant differences between sexes. 3. Eutrophic prematures eliminated the amino acids much faster then the hypotrophic ones. 4. Hypotrophic premature infants showed slow elimination of nearly all amino acids compared with hypotrophic newborns. 5. The elimination of nearly all amino acids studied grew faster with increasing age. The most significant differences were registered between the 1st and 3rd weeks of life.

摘要

在出生后的头25天内,给25名孕周为32 - 37周的早产儿和5名小于胎龄儿的新生儿输注了10毫升/千克体重的5%标准化L - 氨基酸混合物。我们研究了这些氨基酸在血清中的代谢动力学,并计算了单个氨基酸的消除半衰期、消除常数、清除率和转运率。结果与性别、营养状况和年龄进行了相关性分析。另外对3名早产儿和2名小于胎龄儿的新生儿进行了5次实验。以下结果特别令人关注:1. 几乎所有氨基酸的半衰期在30至50分钟之间。鸟氨酸和色氨酸的消除速度较慢(半衰期分别为70分钟和约50分钟),而精氨酸和谷氨酸的半衰期在5至15分钟之间。2. 性别之间没有统计学上的显著差异。3. 营养良好的早产儿比营养不足的早产儿消除氨基酸的速度快得多。4. 与小于胎龄儿的新生儿相比,营养不足的早产儿几乎所有氨基酸的消除速度都较慢。5. 随着年龄的增长,几乎所有研究的氨基酸的消除速度都加快。出生后第1周和第3周之间的差异最为显著。

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