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通过测量红细胞阳离子通量对原发性高血压和继发性高血压进行实验室鉴别。

Laboratory distinction between essential and secondary hypertension by measurement of erythrocyte cation fluxes.

作者信息

Garay R P, Elghozi J L, Dagher G, Meyer P

出版信息

N Engl J Med. 1980 Apr 3;302(14):769-71. doi: 10.1056/NEJM198004033021402.

DOI:10.1056/NEJM198004033021402
PMID:7354808
Abstract

An abnormally low sodium-potassium net flux ratio in erythrocytes was recently described in human essential hypertension. We have confirmed this finding in 65 patients with essential hypertension who were compared with 33 normotensive controls born of normotensive parents. In 23 other subjects with documented secondary hypertension and normotensive parents, the sodium-potassium net flux ratio was found to be similar to that in the controls. The erythrocyte test thus appears to be of interest in distinguishing between essential and secondary hypertension. Severe renal failure itself reduces the flux ratio and would therefore distort the results of this test.

摘要

最近在人类原发性高血压中发现红细胞钠钾净通量比率异常低。我们在65例原发性高血压患者中证实了这一发现,并将他们与33名父母血压正常的血压正常对照者进行了比较。在另外23名有继发性高血压记录且父母血压正常的受试者中,发现钠钾净通量比率与对照组相似。因此,红细胞检测在区分原发性和继发性高血压方面似乎很有意义。严重肾衰竭本身会降低通量比率,因此会扭曲该检测的结果。

相似文献

1
Laboratory distinction between essential and secondary hypertension by measurement of erythrocyte cation fluxes.通过测量红细胞阳离子通量对原发性高血压和继发性高血压进行实验室鉴别。
N Engl J Med. 1980 Apr 3;302(14):769-71. doi: 10.1056/NEJM198004033021402.
2
Clinical and pathological relevance of erythrocyte cation fluxes measurement in hypertension.高血压患者红细胞阳离子通量测量的临床及病理意义
Clin Sci (Lond). 1979 Dec;57 Suppl 5:329s-331s. doi: 10.1042/cs057329s.
3
Erythrocytic sodium ion transport systems in primary and secondary hypertension of the rat.
Kidney Int Suppl. 1982 May;11:S69-75.
4
A case of juvenile essential hypertension: implications of erythrocyte net Na+, K+ flux measurement.一例青少年原发性高血压:红细胞净钠、钾通量测量的意义
Biomedicine. 1981 Mar;35(1):4-6.
5
[Evidence of abnormalities in net sodium and potassium fluxes in erythrocytes of patients with essential hypertension].[原发性高血压患者红细胞钠钾净通量异常的证据]
C R Seances Acad Sci D. 1979 Jan 29;288(4):453-5.
6
Inheritance of abnormal erythrocyte cation transport in essential hypertension.原发性高血压中异常红细胞阳离子转运的遗传因素
Br Med J (Clin Res Ed). 1981 Apr 4;282(6270):1114-7. doi: 10.1136/bmj.282.6270.1114.
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Erythrocyte sodium and sodium flux in relation to hypertension in chronic renal failure.慢性肾衰竭中红细胞钠及钠通量与高血压的关系
Nephrol Dial Transplant. 1989;4(1):21-6.
8
Erythrocyte Na/K flux ratio in relation to sodium intake and a family history of essential hypertension in normotensive children.
J Hum Hypertens. 1993 Feb;7(1):47-51.
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Plasma and erythrocyte cations and permeability of the erythrocyte membrane to cations in essential hypertension.原发性高血压患者的血浆及红细胞阳离子与红细胞膜对阳离子的通透性
Afr J Med Med Sci. 1979 Mar-Jun;8(1-2):45-9.
10
[Evaluation of intra-erythrocyte Na+ activity in persons at high risk for essential arterial hypertension and as an aid in differential diagnosis from secondary forms of hypertension].[原发性动脉高血压高危人群红细胞内钠离子活性的评估及其在与继发性高血压鉴别诊断中的辅助作用]
Boll Soc Ital Biol Sper. 1985 Jan 30;61(1):159-64.

引用本文的文献

1
Predicting and preventing hypertension and associated cardiovascular disease.预测和预防高血压及相关心血管疾病。
Can Fam Physician. 1985 Feb;31:365-9.
2
Hypertension symposium: newer topics on normal and abnormal blood pressure regulatory mechanisms.高血压研讨会:正常与异常血压调节机制的新话题
West J Med. 1983 Aug;139(2):190-203.
3
Culture and medicine.文化与医学。
J R Soc Med. 1998 Mar;91(3):118-26. doi: 10.1177/014107689809100302.
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Alterations in sodium metabolism as an etiological model for hypertension.作为高血压病因模型的钠代谢改变。
Cardiovasc Drugs Ther. 1995 Jun;9(3):377-99. doi: 10.1007/BF00879027.
5
Recent pathogenic aspects in essential hypertension and hypertension associated with diabetes mellitus.原发性高血压及糖尿病相关性高血压的近期发病机制
Klin Wochenschr. 1980 Oct 1;58(19):1071-89. doi: 10.1007/BF01476878.
6
Blood pressure, sodium, and take away food.血压、钠和外卖食品。
Arch Dis Child. 1982 Sep;57(9):645-6. doi: 10.1136/adc.57.9.645.
7
Blood pressure and the kidney.血压与肾脏。
J Clin Pathol. 1981 Nov;34(11):1233-40. doi: 10.1136/jcp.34.11.1233.
8
[Cation flux in erythrocytes of patients with essential hypertension].
Klin Wochenschr. 1983 May 16;61(10):517-21. doi: 10.1007/BF01488719.
9
Sodium-potassium cotransport activity as genetic marker in essential hypertension.钠钾协同转运活性作为原发性高血压的遗传标志物。
Br Med J (Clin Res Ed). 1982 Feb 20;284(6315):539-41. doi: 10.1136/bmj.284.6315.539.
10
Familial abnormality of erythrocyte cation transport in essential hypertension.原发性高血压中红细胞阳离子转运的家族性异常。
Br Med J (Clin Res Ed). 1981 Apr 11;282(6271):1186-8. doi: 10.1136/bmj.282.6271.1186.