Pié J, Martínez-Ballarín E, Blasco G, Martínez-Berganza A
Cátedra de Fisiología, Facultad de Medicina, Zaragoza, España.
Rev Esp Fisiol. 1988 Dec;44(4):369-74.
Serum concentrations of Na+, K+ and Cl- are studied, as well as the elimination of these ions in urine, in patients suffering from chronic respiratory insufficiency, being classified in two groups according to the level of hypoxemia: group A (PO2 less than 6.66 KPa) and group B (PO2 less than 8 KPa). A third group C of healthy patients with analogous anthropological characteristics has served as a control group. The concentrations of serum of the three ions are noticeably similar in the three groups, but the daily elimination of Na+, K+ and Cl- is less in those suffering from respiratory insufficiency than in those of the control group, with significant statistical differences in all cases except with K+ in those suffering from pronounced hypoxemia. On analysing the correlation between the rates of elimination of ions in urine, with the plasmatic values of PO2, PCO2 and [H+] of all the patients studied, the highest values of the Pearson coefficient are found on correlating the elimination of ions with the partial pressures of oxygen, therefore suggesting that hypoxia could be the main motor inducing metabolic changes.
对患有慢性呼吸功能不全的患者的血清钠(Na⁺)、钾(K⁺)和氯(Cl⁻)浓度以及这些离子在尿液中的排泄情况进行了研究。根据低氧血症水平将患者分为两组:A组(动脉血氧分压(PO₂)低于6.66千帕)和B组(PO₂低于8千帕)。第三组C为具有相似人类学特征的健康患者,作为对照组。三组患者血清中这三种离子的浓度明显相似,但呼吸功能不全患者的Na⁺、K⁺和Cl⁻每日排泄量低于对照组,除重度低氧血症患者的K⁺外,所有情况下均存在显著统计学差异。在分析所有研究患者尿液中离子排泄率与血浆PO₂、二氧化碳分压(PCO₂)和氢离子浓度([H⁺])值之间的相关性时,发现离子排泄与氧分压相关时,皮尔逊系数最高,因此表明低氧可能是导致代谢变化的主要驱动因素。