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[由于pH值降低(酸中毒)而发生的晶状体变化(作者译)]

[Lens changes occuring as a result of lowered pH (acidosis) (author's transl)].

作者信息

Pau H, Augstein E M

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1977 May 23;202(3):223-9. doi: 10.1007/BF00407872.

Abstract

In the lens, disorders of the metabolism occur, and, with them, active permeability (the cation pump with uptake of K and release of Na) changes to passive permeability and consequently Na ions enter with water. As a result, the lens increases in weight and a subcapsular (permeability) cataract develops. It is shown that the cattle lens in vitro increases in weight the lower the pH (6.5 greater than 7.5 greater than 8.5) of the surrounding fluid becomes. In a further experiment, 1 ml of buffered liquids with different pH were injected into the anterior chamber of the eyes of freshly slaughtered cattle. Here, too, the mechanically undamaged, untouched lens increased in weight more greatly as the pH (5.5 greater than 6.5 greater than 7.5 greater than 8.5) of the injected fluid was lowered. The significance of the lowering of the pH, e.g., in local inflammation (iritis, cyclitis, retinitis, etc.) or general acidoses (diabetes mellitus, galactosemia, hunger, extracorporeal circulation for atrophic kidney. Albright-, Love-, Fanconi-syndrome) for the appearance of incipient subcapsular clouding of the lens is pointed out.

摘要

在晶状体中会发生代谢紊乱,随之,主动通透性(摄取钾并释放钠的阳离子泵)转变为被动通透性,结果钠离子随水进入晶状体。于是,晶状体重量增加,形成囊下(通透性)白内障。研究表明,体外培养的牛晶状体,其周围液体的pH值越低(6.5>7.5>8.5),重量增加得越多。在进一步的实验中,将1毫升不同pH值的缓冲液注入刚宰杀的牛的眼前房。同样,未受机械损伤且未被触碰的晶状体,随着注入液体pH值降低(5.5>6.5>7.5>8.5),重量增加得更多。文中指出了pH值降低(如在局部炎症(虹膜炎、睫状体炎、视网膜炎等)或全身性酸中毒(糖尿病、半乳糖血症、饥饿、萎缩性肾的体外循环。奥尔布赖特、洛夫、范科尼综合征))对于晶状体早期囊下浑浊出现的意义。

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