Girard P, Brun-Pascaud M, Paillard M
Clin Sci (Lond). 1985 Mar;68(3):301-9. doi: 10.1042/cs0680301.
K+ depletion of two kinds was induced in two groups of rats by selective dietary restriction for up to 5 weeks. Complete metabolic studies for H+, K+, Na+ and Cl- were carried out daily during weeks 1, 3 and 5. In control rats of group A (receiving K+ with sodium chloride), plasma pH (7.47) and HCO3- (25 mmol/l), as well TA (titratable acid)--HCO3- and NH+4 urinary excretion rates, were stable, while balances were nil for K+ and slightly positive for Cl-. In K+-deprived rats of group A receiving sodium chloride, a progressive metabolic alkalosis developed (plasma pH reached 7.57 and HCO3- 35.8 mmol/l by 5 weeks), and TA--HCO3- and NH+4 urinary excretion rates were not different from controls. Plasma K+ fell progressively from 4.20 to 2.20 mmol/l, with negative K+ balance. Balances for Na+ and H2O were highly positive and plasma renin activity and aldosterone decreased by week 5. Hypochloraemia developed with positive Cl- balance. In control rats of group B (receiving K+ with neutral sodium phosphate), a slight metabolic alkalosis developed, and TA--HCO3- excretion rate was increased compared with control rats of group A.(ABSTRACT TRUNCATED AT 250 WORDS)
通过选择性饮食限制对两组大鼠进行长达5周的两种钾缺乏诱导。在第1、3和5周期间每天对H⁺、K⁺、Na⁺和Cl⁻进行完整的代谢研究。在A组对照大鼠(接受含氯化钠的钾)中,血浆pH(7.47)和HCO₃⁻(25 mmol/L)以及可滴定酸(TA)-HCO₃⁻和NH₄⁺尿排泄率稳定,而钾平衡为零,氯平衡略为正值。在接受氯化钠的A组缺钾大鼠中,逐渐出现代谢性碱中毒(到5周时血浆pH达到7.57,HCO₃⁻为35.8 mmol/L),TA-HCO₃⁻和NH₄⁺尿排泄率与对照组无差异。血浆钾从4.20 mmol/L逐渐降至2.20 mmol/L,钾平衡为负。钠和水的平衡为高度正值,到第5周时血浆肾素活性和醛固酮降低。出现低氯血症,氯平衡为正。在B组对照大鼠(接受含中性磷酸钠的钾)中,出现轻微代谢性碱中毒,与A组对照大鼠相比,TA-HCO₃⁻排泄率增加。(摘要截断于250字)