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醋酸脱氧皮质酮对低钾血症大鼠镁代谢的影响。

Effects of desoxycorticosterone acetate on magnesium metabolism in potassium-depleted rats.

作者信息

Old C W, Siedlecki M, Duarte C G, Phillips R

出版信息

Magnesium. 1984;3(2):95-106.

PMID:6503360
Abstract

Metabolic balance studies were performed in two groups of 6 rats each, pair-fed a diet deficient in potassium. While one group was injected with desoxycorticosterone acetate (DOCA) for 11 days, the other group, used as a control, was injected with oil. The administration of DOCA suppressed or reversed the thirst, natriuresis, diuresis, calciuria and magnesiuria that developed in the potassium-deficient control group. Potassium-depleted DOCA-treated rats had a more positive water and sodium balance, experienced a significant expansion in plasma volume, had a more negative potassium balance and had a lower plasma potassium concentration. Magnesium balance decreased in the group fed the diet deficient in potassium and injected with oil but it rose towards control levels in the group fed the same diet and treated with DOCA. As the content of potassium in muscle decreased in rats fed the diet deficient in potassium and injected with oil, the concentration of magnesium in muscle also fell and the plasma concentration of magnesium increased. Thus, the hypermagnesemia of potassium depletion could be explained by the shifting of magnesium from tissue into the extracellular space. The partial compensation of the hypermagnesemia observed in the potassium-deficient group injected with DOCA may be the result of the hemodilution secondary to plasma expansion.

摘要

对两组各6只大鼠进行了代谢平衡研究,两组大鼠均成对喂养低钾饮食。一组大鼠连续11天注射醋酸脱氧皮质酮(DOCA),另一组作为对照注射油。DOCA的给药抑制或逆转了低钾对照组出现的口渴、利钠、利尿、尿钙和尿镁现象。低钾且经DOCA处理的大鼠水和钠平衡更为正向,血浆容量显著增加,钾平衡更为负向,血浆钾浓度更低。低钾饮食并注射油的组镁平衡降低,但在给予相同饮食并经DOCA处理的组中,镁平衡升至对照水平。在低钾饮食并注射油的大鼠中,随着肌肉中钾含量的降低,肌肉中镁的浓度也下降,血浆镁浓度升高。因此,低钾血症导致的高镁血症可通过镁从组织转移到细胞外空间来解释。在注射DOCA的低钾组中观察到的高镁血症的部分代偿可能是血浆扩张继发血液稀释的结果。

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