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Red Cell Sodium and Potassium in Hemorrhagic Shock Measured by Lithium Substitution Analysis

 

作者: BRIAN DAY,   SYDNEY FRIEDMAN,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1980)
卷期: Volume 20, issue 1  

页码: 52-54

 

ISSN:0022-5282

 

年代: 1980

 

出版商: OVID

 

数据来源: OVID

 

摘要:

&NA;A new method of measuring intracellular Na and K using Li substitution analysis was applied to a study of red cell Na changes in hemorrhagic shock. Using a rat hemorrhagic shock model, significant changes in red cell Na were found after 2 hours. Red cell Na in shocked animals was significantly higher than in control animals (p< 0.025). A small decrease in red cell K occurred. There was no intracellular shift of Li. In addition, a fall in plasma Na and a rise in plasma K occurred with progressive shock. In a 2‐hour period following retransfusion there was no significant change in cell Na or K, but the plasma Na and K returned toward preshock levels. These results confirm a prolonged and significant impairment of red cell membrane function in shock and suggest that impaired Na‐K pump function may be responsible for the changes.

 

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