Ljunghall S, Joborn H, Rastad J, Akerström G
Acta Med Scand. 1987;221(1):83-93. doi: 10.1111/j.0954-6820.1987.tb01248.x.
Infusion of adrenaline into healthy male subjects reduced the plasma concentrations of both potassium and phosphate to a similar extent, in a dose-dependent manner, an effect which was prevented by the administration of propranolol. Ergometer bicycling until exhaustion, which caused marked accumulation of lactic acid in the blood and reduction of pH, induced great elevations of both plasma potassium and phosphate with close relationships between the raised plasma concentrations and the reduction in pH, also during beta-blockade. However, longer-term aerobic exercise, without acidosis, also caused some rise of the potassium and phosphate concentrations. During recovery from anaerobic, but not from aerobic, exercise there was a rapid decrease of the plasma potassium levels while the phosphate values normalized gradually together with pH. From measurements of the ion concentrations both in the femoral effluent of one leg, which carried out maximal isokinetic work, and in the opposite antecubital vein it could be calculated that there was for potassium, but not for phosphate, a post-exercise uptake both in the exercised muscle and in the entire organism, indicating the participation of systemic factors.
向健康男性受试者输注肾上腺素会使血浆钾和磷酸盐浓度以剂量依赖的方式降低至相似程度,普萘洛尔给药可阻止这种效应。进行力竭性测力计骑行,这会导致血液中乳酸显著蓄积和pH值降低,会引起血浆钾和磷酸盐大幅升高,且升高的血浆浓度与pH值降低之间存在密切关系,在β受体阻滞剂作用期间也是如此。然而,长期有氧运动且无酸中毒时,也会导致钾和磷酸盐浓度有所升高。在无氧运动(而非有氧运动)恢复过程中,血浆钾水平迅速下降,而磷酸盐值随pH值逐渐恢复正常。通过测量一条进行最大等速运动的腿的股静脉流出液以及对侧肘前静脉中的离子浓度,可以计算出,运动后,钾在运动肌肉和整个机体中均有摄取,但磷酸盐没有,这表明存在全身因素的参与。