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部分肝切除术后尿素生成减少并不影响酸碱平衡。

Decrease in ureagenesis by partial hepatectomy does not influence acid-base balance.

作者信息

Almdal T, Vilstrup H, Bjerrum K, Kristensen L O

机构信息

Division of Hepatology, Rigshospitalet, Copenhagen, Denmark.

出版信息

Am J Physiol. 1989 Oct;257(4 Pt 2):F696-9. doi: 10.1152/ajprenal.1989.257.4.F696.

Abstract

It has been suggested that urea synthesis participates directly in body pH homeostasis by removal of bicarbonate. To elucidate this hypothesis sodium bicarbonate or sodium chloride was infused (11.5 mumol/min) for 90 min into control rats and into rats that had undergone an 85% hepatectomy immediately before starting the infusion. Urea synthesis rate was 2.6 +/- 0.3 mumol/min (mean +/- SE) in controls, and was significantly (P less than 0.01) reduced to 1.0 +/- 0.2 mumol/min in partially hepatectomized rats. At the start of bicarbonate infusion, pH was 7.38 and 7.34 in control and partially hepatectomized rats, respectively, and at the end of infusion, pH was 7.56 and 7.51. Standard bicarbonate at start of bicarbonate infusion was 21.9 and 21.3 mM in controls and partially hepatectomized, respectively, and it increased to 32.7 and 29.9 mM at end of infusion. In saline-infused rats a slight decrease of approximately 0.05 pH units was observed during the experiment, but again no difference emerged between control and partially hepatectomized rats. It is concluded that a major role of the liver in the regulation of acid-base balance is unlikely.

摘要

有人提出,尿素合成通过去除碳酸氢盐直接参与机体pH值的稳态调节。为了阐明这一假说,将碳酸氢钠或氯化钠以11.5 μmol/分钟的速度注入对照大鼠和在开始注入前立即进行了85%肝切除术的大鼠体内,持续90分钟。对照大鼠的尿素合成速率为2.6±0.3 μmol/分钟(平均值±标准误),部分肝切除大鼠的尿素合成速率显著降低(P<0.01)至1.0±0.2 μmol/分钟。在注入碳酸氢盐开始时,对照大鼠和部分肝切除大鼠的pH值分别为7.38和7.34,注入结束时,pH值分别为7.56和7.51。在注入碳酸氢盐开始时,对照大鼠和部分肝切除大鼠的标准碳酸氢盐分别为21.9和21.3 mM,注入结束时分别增加到32.7和29.9 mM。在注入生理盐水的大鼠中,实验期间观察到pH值略有下降,约0.05个单位,但对照大鼠和部分肝切除大鼠之间同样没有差异。结论是,肝脏在酸碱平衡调节中的主要作用不太可能。

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