Harada M, Okuda C, Sawa T, Fuse A, Imai H, Tanaka Y
Department of Anesthesiology, Kyoto Prefectural University of Medicine, Japan.
Circ Shock. 1994 Aug;43(4):166-70.
The interstitial lactate concentration in rat skeletal muscle and liver was measured using a microdialysis method during the early stage of endotoxemia and during lactic acid infusion. The lactate concentration in the muscle and liver interstitium never exceeded the blood lactate concentration throughout the 180 min period after endotoxin administration. The present findings also showed that the muscle and liver interstitial lactate concentration gradually increased in endotoxin-infused animals compared to that in lactic-acid infused animals, although the blood lactate concentration in lactic acid-infused animals was the same as that in endotoxin-infused animals. These findings suggest that the skeletal muscle and liver may consume lactate in an endotoxemic condition. However, the capacity of lactate consumption in the skeletal muscle might gradually decrease after endotoxin administration, although that in liver might be well preserved.
在内毒素血症早期和乳酸输注期间,采用微透析法测定大鼠骨骼肌和肝脏的间质乳酸浓度。在内毒素给药后的180分钟内,肌肉和肝脏间质中的乳酸浓度从未超过血乳酸浓度。目前的研究结果还表明,与乳酸输注动物相比,内毒素输注动物的肌肉和肝脏间质乳酸浓度逐渐升高,尽管乳酸输注动物的血乳酸浓度与内毒素输注动物相同。这些发现表明,在发生内毒素血症的情况下,骨骼肌和肝脏可能会消耗乳酸。然而,内毒素给药后,骨骼肌消耗乳酸的能力可能会逐渐下降,尽管肝脏中的能力可能会得到很好的保留。