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[血液透析对慢性肾功能衰竭患儿红细胞钠、钾三磷酸腺苷酶活性的影响]

[Effect of hemodialysis on the erythrocyte sodium, potassium adenosine triphosphatase activity in children with chronic renal failure].

作者信息

Levanovich V V, Rustamov F A, Kornilov A M, Chirovich M

出版信息

Pediatriia. 1991(7):78-82.

PMID:1661399
Abstract

A study was made of the activity of Na, K-ATPase of red blood cells in children with chronic renal failure (CRF) before and after the treatment with hemodialysis. It has been discovered that in CRF children, the activity of Na, K-ATPase was significantly reduced as compared to that in the controls. Meanwhile after the dialysis therapy it rose, which may be due to the improvement of the work of Na, K-ATPase in the red blood cell membrane. It is suggested that the decline of the activity of Na, K-ATPase in CRF patients is likely to be related to the inhibition of the enzyme by digoxin-like factor. Based on an analysis of the data obtained it is recommended that, Na, K-ATPase be used as an effective criterion for estimation of the treatment adequacy or delineation of indications for hemodialysis in children suffering from CRF.

摘要

对慢性肾衰竭(CRF)患儿血液透析治疗前后红细胞钠钾-ATP酶活性进行了研究。发现CRF患儿的钠钾-ATP酶活性与对照组相比显著降低。同时,透析治疗后该活性升高,这可能是由于红细胞膜中钠钾-ATP酶的功能得到改善。提示CRF患者钠钾-ATP酶活性下降可能与地高辛样因子对该酶的抑制作用有关。基于对所得数据的分析,建议将钠钾-ATP酶用作评估CRF患儿透析治疗充分性或确定透析指征的有效标准。

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