Schneider S, Müller A, Wittek T
Department for Farm Animals and Veterinary Public Health, University Clinic for Ruminants, University of Veterinary Medicine Vienna, Vienna, Austria.
Vet Med Labor GmbH IDEXX Laboratories, Ludwigsburg, Germany.
J Vet Intern Med. 2016 Mar-Apr;30(2):679-85. doi: 10.1111/jvim.13842. Epub 2016 Feb 15.
Healthy cows consume large amounts of potassium and a sudden loss in appetite can lead to hypokalemia. The routine method to evaluate potassium homeostasis is the measurement of the extracellular potassium in plasma or serum, but this does not provide information about the intracellular potassium pool.
HYPOTHESIS/OBJECTIVES: To evaluate potassium homeostasis by comparing the extracellular and intracellular potassium concentration in cows with reduced feed intake and gastrointestinal ileus.
Twenty cows 1-3 days postpartum (group 1) and 20 cows with gastrointestinal ileus (group 2).
Observational cross-sectional study. Plasma potassium was measured by using an ion-sensitive electrode. Intracellular potassium was measured in erythrocytes and muscle tissue (muscle biopsy) by using inductively coupled plasma optical emission spectroscopy.
Cows of group 1 did not have hypokalemia. Overall cows with gastrointestinal ileus were hypokalemic (mean ± SD, 2.9 mmol/L ± 0.78), but potassium concentration in erythrocytes and muscle tissue was not lower than in postpartum cows. Intracellular potassium in erythrocytes varied very widely; group 1: 3497-10735 mg/kg (5559 ± 2002 mg/kg), group 2: 4139-21678 mg/kg (7473 ± 4034 mg/kg). Potassium in muscle tissue did not differ between group 1 (3356 ± 735 mg/kg wet weight) and group 2 (3407 ± 1069 mg/kg wet weight). No association between extracellular and intracellular potassium concentrations was detected.
That measurement of plasma potassium concentration is not sufficient to evaluate potassium metabolism of cows.
健康奶牛会摄入大量钾,食欲突然下降会导致低钾血症。评估钾稳态的常规方法是测量血浆或血清中的细胞外钾,但这无法提供细胞内钾池的信息。
假设/目标:通过比较采食量减少和胃肠道肠梗阻奶牛的细胞外和细胞内钾浓度来评估钾稳态。
20头产后1 - 3天的奶牛(第1组)和20头患有胃肠道肠梗阻的奶牛(第2组)。
观察性横断面研究。使用离子敏感电极测量血浆钾。通过电感耦合等离子体发射光谱法测量红细胞和肌肉组织(肌肉活检)中的细胞内钾。
第1组奶牛没有低钾血症。总体而言,患有胃肠道肠梗阻的奶牛存在低钾血症(均值±标准差,2.9 mmol/L±0.78),但红细胞和肌肉组织中的钾浓度并不低于产后奶牛。红细胞中的细胞内钾差异非常大;第1组:3497 - 10735 mg/kg(5559±2002 mg/kg),第2组:4139 - 21678 mg/kg(7473±4034 mg/kg)。第1组(湿重3356±735 mg/kg)和第2组(湿重3407±1069 mg/kg)肌肉组织中的钾没有差异。未检测到细胞外和细胞内钾浓度之间的关联。
测量血浆钾浓度不足以评估奶牛的钾代谢。