Feng H S
Tangdu Hospital, Fourth Military Medical University, Xi'an.
Zhonghua Yi Xue Za Zhi. 1992 Sep;72(9):547-9, 574.
Intra-erythrocytic contents of Na, K, Ca, Mg and activities of Na-K-ATPase (Na-pump) and Ca-Mg-ATPase (Ca-pump) were measured in 30 cases of dilated cardiomyopathy (DCM). Effects of treatment on these variables were simultaneously observed. The results showed that intra-erythrocytic Na, Ca contents increased and K, Mg contents decreased. That erythrocyte membrane Na-pump and Ca-pump were remarkably lower in DCM than those in the controls. Red cell cations and ATPase activities returned to normal following the recovery of cardiac function. It is suggested that abnormalities of intracellular cations and cell membrane cation transfer may play an important role in the mechanism of DCM.
检测了30例扩张型心肌病(DCM)患者红细胞内钠、钾、钙、镁的含量以及钠钾ATP酶(钠泵)和钙镁ATP酶(钙泵)的活性。同时观察了治疗对这些指标的影响。结果显示,DCM患者红细胞内钠、钙含量升高,钾、镁含量降低。DCM患者红细胞膜钠泵和钙泵活性显著低于对照组。心功能恢复后,红细胞阳离子及ATP酶活性恢复正常。提示细胞内阳离子及细胞膜阳离子转运异常可能在DCM发病机制中起重要作用。