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[慢性铅中毒中的镁代谢:螯合治疗的影响]

[Magnesium metabolism in chronic lead poisoning: influence of chelating treatment].

作者信息

Hermann J, Lonchamp P, Duc M

出版信息

Magnesium. 1985;4(5-6):312-5.

PMID:3938831
Abstract

Thirteen patients with chronic lead poisoning were compared to 13 healthy subjects for magnesium in blood (plasma and erythrocytes) and in 24-hour urine, and serum and urinary Ca and P. Determinations were made before an infusion of 1 g Ca EDTA and on the following day. In the basic state, all the parameters were identical in both groups. Ca EDTA elicits a significant drop in plasma Mg only in the patients with lead poisoning, without modifications of erythrocytic or urinary Mg. Consequently, the drop in plasma Mg might be due to a shift from an extracellular to a tissue pool. This shift might be cause by the action of EDTA itself, or might be the consequence of removal of lead from cellular sites of fixation, where it could be replaced by Mg ions.

摘要

将13例慢性铅中毒患者与13名健康受试者进行比较,检测其血液(血浆和红细胞)及24小时尿液中的镁,以及血清和尿液中的钙和磷。在输注1g依地酸钙钠之前及次日进行测定。在基础状态下,两组所有参数均相同。依地酸钙钠仅使铅中毒患者的血浆镁显著下降,而红细胞内或尿液中的镁无变化。因此,血浆镁的下降可能是由于从细胞外池转移至组织池。这种转移可能是依地酸钙钠本身作用所致,也可能是铅从细胞固定部位被清除,镁离子取而代之的结果。

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