Howie A D, Pack A I, Boddy K, Mahaffey M
Thorax. 1976 Dec;31(6):708-12. doi: 10.1136/thx.31.6.708.
Total body potassium was measured in 12 patients with cor pulmonale, by determination of potassium-40, a naturally occurring radioisotope. In all subjects the observed value of total body potassium showed no significant depletion when compared with that predicted from height and age. All previous studies in similar groups of patients have been confined to the estimation of exchangeable potassium by the technique of isotope dilution. Results using the latter technique have shown gross potassium depletion. It is suggested that the apparent disparity between total body potassium and exchangeable potassium could be explained by the requirement for a longer equilibration period when using isotope dilution techniques in patients who are in chronic hypoxaemic state.
通过测定天然存在的放射性同位素钾-40,对12例肺心病患者的全身钾含量进行了测量。与根据身高和年龄预测的值相比,所有受试者的全身钾观察值均未显示出明显的消耗。之前在类似患者群体中的所有研究都局限于通过同位素稀释技术估算可交换钾。使用后一种技术的结果显示有明显的钾消耗。有人认为,全身钾和可交换钾之间明显的差异可以用在慢性低氧血症患者中使用同位素稀释技术时需要更长的平衡期来解释。