Changes in Red Blood Cell Transmembrane Potential, Electrolytes, and Energy Content in Septic Shock
作者:
G. SHIRES,
ANDREW PEITZMAN,
HANA ILLNER,
G. SHIRES,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1983)
卷期:
Volume 23,
issue 9
页码: 769-774
ISSN:0022-5282
年代: 1983
出版商: OVID
数据来源: OVID
摘要:
Septic shock was induced in adult baboons by the infusion of liveEscherichia coli. A progressive derangement in skeletal muscle cell function was documented by the direct measurement of declining transmembrane potential difference (PD). A concurrent depolarization of the red blood cell (RBC) was characterized by cellular uptake of chloride, sodium, and water, and loss of potassium. The decrease in RBC PD was significantly greater than the change predicted to occur from acidosis alone. These findings are compatible with changes in membrane permeability and decreased active transport. The continuous accumulation of RBC adenosine triphosphate during shock suggests decreased energy utilization rather than decreased energy production as a factor leading to diminished active ion transport.
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