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[猪附红细胞体感染:对酸碱平衡及静脉血中葡萄糖、乳酸和丙酮酸含量的影响]

[Eperythrozoon infection in swine: effect on the acid-base balance and the glucose, lactate and pyruvate content of venous blood].

作者信息

Heinritzi K, Peteranderl W, Plank G

机构信息

II. Medizinischen Tierklinik der Universität München.

出版信息

Dtsch Tierarztl Wochenschr. 1990 Jan;97(1):31-4.

PMID:2311527
Abstract

The influence of latent and of splenectomy-induced clinically manifest Eperythrozoon suis infection on the following parameters of the carbohydrate metabolism and the acid-base status was tested in venous blood of German Landrace pigs: Levels of glucose, lactic and pyruvic acid, blood-pH, base excess, actual bicarbonate concentration, standard bicarbonate concentration, pCO2, pO2. The latent E. suis infection resulted in a consistent decrease of blood glucose level. 23 days after infection, blood glucose was reduced by 25% of the initial value. The other parameters were not changed by latent E. suis infection. Acute Eperythrozoonosis induced severe hypoglycaemia (means Gluc, = 39.7 mg/dl and blood acidosis (means pH = 7.13). In vitro experiments showed that break-down of glucose in E. suis infected blood occurs very rapidly. There was no significant reduction of the glucose concentration in control blood that had been treated accordingly. There was an increase of lactic acid (means = 62.7 mg/dl), pyruvic acid (means = 1.86 mg/dl), and pCO2 (means = 82.1 mm Hg). The concentrations of actual bicarbonate (means = 24.8 mmol/l) and standard bicarbonate (means = 20.9 mmol/l) were lowered, and there was a negative base excess (means = -3.56 mmol/l). The ratio of lactic and pyruvic acid changed from 11:1 to 30:1. It seems likely that E. suis itself is able to metabolize glucose. Acidosis is considered to result from both the increase of lactic acid (metabolic component) and an impairment of pulmonary gas exchange (respiratory component).

摘要

在德国长白猪的静脉血中检测了潜伏性猪附红细胞体感染以及脾切除诱导的临床显性猪附红细胞体感染对碳水化合物代谢和酸碱平衡以下参数的影响

葡萄糖、乳酸和丙酮酸水平、血液pH值、碱剩余、实际碳酸氢盐浓度、标准碳酸氢盐浓度、pCO₂、pO₂。潜伏性猪附红细胞体感染导致血糖水平持续下降。感染23天后,血糖降低至初始值的25%。其他参数未因潜伏性猪附红细胞体感染而改变。急性猪附红细胞体病导致严重低血糖(平均血糖 = 39.7mg/dl)和血液酸中毒(平均pH = 7.13)。体外实验表明,猪附红细胞体感染的血液中葡萄糖分解非常迅速。相应处理的对照血液中葡萄糖浓度没有显著降低。乳酸(平均 = 62.7mg/dl)、丙酮酸(平均 = 1.86mg/dl)和pCO₂(平均 = 82.1mmHg)有所增加。实际碳酸氢盐浓度(平均 = 24.8mmol/l)和标准碳酸氢盐浓度(平均 = 20.9mmol/l)降低,碱剩余为负值(平均 = -3.56mmol/l)。乳酸与丙酮酸的比例从11:1变为30:1。猪附红细胞体本身似乎能够代谢葡萄糖。酸中毒被认为是由乳酸增加(代谢成分)和肺气体交换受损(呼吸成分)共同导致的。

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