Tollman R L, Gautvik K M
Acta Vet Scand. 1980;21(4):457-68. doi: 10.1186/BF03546834.
The hypocalcaemia caused by parturition and onset of lactation in high-production dairy cows was mimicked by subjecting cows to starvation periods before and after partus. The changes in plasma calcium, phosphate and magnesium were followed and compared with immunoreactive parathyroid hormone (iPTH) in 2 cows. During the starvation periods before partus, the cows developed hypocalcaemia with no or only small changes in the plasma concentration of magnesium. After the onset of hypocalcaemia, the concentration of iPTH increased on the average 3–4-fold and the raised hormone levels lasted about 24 h after start of refeeding. An increase in plasma phosphate occurred somewhat later than the rise in iPTH and lasted longer. After partus hypocalcaemia developed, together with smaller increases in iPTH concentration (about 2-fold). The post-partum starvation period again resulted in hypocalcaemia and raised iPTH concentrations. In conclusion, starvation and parturition induced inverse changes in plasma calcium and iPTH in dairy cows. The increases in plasma iPTH were reversible and considered secondary to the hypocalcaemia. Through the effect of paratyroid hormone, plasma calcium was normalized and phosphate concentration increased. Therefore, fatal hypocalcaemia which may occur following the course of parturition and onset of lactation is not due to impaired PTH secretion.
通过在分娩前后使奶牛处于饥饿状态,模拟高产奶牛分娩和泌乳开始时所引起的低钙血症。对2头奶牛血浆钙、磷和镁的变化进行跟踪,并与免疫反应性甲状旁腺激素(iPTH)进行比较。在分娩前的饥饿期,奶牛出现低钙血症,血浆镁浓度无变化或仅有微小变化。低钙血症发生后,iPTH浓度平均增加3 - 4倍,且在重新喂食开始后升高的激素水平持续约24小时。血浆磷的增加比iPTH的升高稍晚出现,且持续时间更长。分娩后出现低钙血症,同时iPTH浓度升高幅度较小(约2倍)。产后饥饿期再次导致低钙血症和iPTH浓度升高。总之,饥饿和分娩诱导奶牛血浆钙和iPTH发生相反变化。血浆iPTH的升高是可逆的,被认为是低钙血症的继发结果。通过甲状旁腺激素的作用,血浆钙恢复正常,磷浓度升高。因此,分娩和泌乳过程中可能发生的致命性低钙血症并非由于甲状旁腺激素分泌受损。