Rothe K F
Anasth Intensivther Notfallmed. 1984 Aug;19(4):191-4.
Unrestrained male nephrectomised Sprague-Dawley rats were infused with 10 mmol per kg body weight THAM or sodium bicarbonate. In predetermined intervals up to 380 minutes arterial plasma pH (pHe) and pCO2 were monitored. In addition the intracellular bicarbonate concentration was determined before and after infusion of the agents. The following results were obtained: arterial pCO2 following THAM administration increases much more than following sodium bicarbonate infusion; arterial plasma pH following THAM application decreases rather rapidly compared to bicarbonate; intracellular bicarbonate concentration increases much more when sodium bicarbonate was infused; these results indicate that sodium bicarbonate is the more effective buffer substance for correction of extra-and intracellular acid-base disturbances than THAM. Sodium bicarbonate should be preferred in clinical practice.
对未受限制的雄性肾切除的斯普拉格-道利大鼠,按每千克体重10毫摩尔的剂量注入三羟甲基氨基甲烷(THAM)或碳酸氢钠。在长达380分钟的预定时间间隔内,监测动脉血浆pH值(pHe)和pCO₂。此外,在注入这些药物前后测定细胞内碳酸氢盐浓度。得到以下结果:注入THAM后动脉pCO₂的升高幅度远大于注入碳酸氢钠后;与碳酸氢盐相比,注入THAM后动脉血浆pH值下降得更快;注入碳酸氢钠时细胞内碳酸氢盐浓度升高得更多;这些结果表明,在纠正细胞内外酸碱紊乱方面,碳酸氢钠是比THAM更有效的缓冲物质。在临床实践中应优先选用碳酸氢钠。