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缺水犬的动脉血和混合静脉血的二氧化碳分压、氢离子、碳酸氢根及碱剩余浓度

Arterial and mixed venous PCO2 and hydrogen ion, bicarbonate and base excess concentrations in water-depleted dogs.

作者信息

Libermann I M

出版信息

Pflugers Arch. 1976 Nov 5;366(2-3):115-24. doi: 10.1007/BF00585865.

Abstract

The arterial (a), mixed venous (v), and arterial-mixed venous differences (A-V) of hydrogen ion concentration ([H+]), PCO2, HCO-3 and base excess (BE) were measured during 3 h in control (C), water-depleted (WD) and water- and salt-depleted (WSD) dogs. In WD animals the difference in hydrogen ion concentration between venous and arterial blood increased because the [H+] increased more in venous than in arterial blood. In WSD animals (A-V) [H+] remained unchanged since both [H+]a and [H+]v increases were parallel. [H+] variations seem to represent the changes in fixed-acid concentration of blood. The difference between both groups of animals in (A-V) [H+] changes could be ascribed to PCO2 variations. [HCO-3] values changed inconsistently. Arterial samples from the experimental groups showed a continuous decrease at the same rate of change. The mean values in WSD were lower than in WD. [HCO-3]v of WSD decreased slowly during the experiment. The rate of decrease of (A-V) [HCO-3] was higher in WD than in WSD. The different behavior of of [HCO-3] between both arterial and mixed venous samples and among experimental groups disappeared if [HCO-3] changes were corrected for bicarbonate generation due to PCO2 variation (respiratory bicarbonate). Thus [HCO-3] corrected for PCO2 variation represents metabolic changes, in good agreement with both [H+] and BE variations. The metabolic acidosis cannot be explained only on the basis of the increase in blood lactate; it is suggested that other fixed acids might contribute to the decrease in blood bicarbonate. In both experimental groups PvCO2 increased continuously. The (A-V) PCO2 showed the same rate of change. There is a good relationship between this increase and the degree of plasma volume change. It therefore might be that PvCO2 increase is a direct consequence of hemodynamic impairment. In WD and WSD, BE decreased progressively in both arterial and mixed venous samples. BEa values were lower than BEv values after the experiment began. (A-V) BE decreased in an exponential manner in both experimental groups; this change could be ascribed to the increased level of deoxygenated hemoglobin in mixed venous blood, thus giving rise to a decrease in fixed acid concentration.

摘要

在对照(C)、缺水(WD)和缺盐缺水(WSD)的犬中,在3小时内测量了氢离子浓度([H⁺])、PCO₂、HCO₃⁻和碱剩余(BE)的动脉血(a)、混合静脉血(v)以及动脉血与混合静脉血的差值(A-V)。在WD动物中,静脉血和动脉血之间的氢离子浓度差异增加,因为静脉血中[H⁺]的增加幅度大于动脉血。在WSD动物中,(A-V)[H⁺]保持不变,因为[H⁺]a和[H⁺]v的增加是平行的。[H⁺]的变化似乎代表了血液中固定酸浓度的变化。两组动物在(A-V)[H⁺]变化上的差异可归因于PCO₂的变化。[HCO₃⁻]值变化不一致。实验组的动脉血样本以相同的变化率持续下降。WSD组的平均值低于WD组。WSD组的[HCO₃⁻]v在实验过程中缓慢下降。WD组(A-V)[HCO₃⁻]的下降速率高于WSD组。如果对因PCO₂变化(呼吸性碳酸氢盐)产生的碳酸氢盐进行校正,动脉血和混合静脉血样本之间以及实验组之间[HCO₃⁻]的不同变化情况就会消失。因此,校正PCO₂变化后的[HCO₃⁻]代表代谢变化,这与[H⁺]和BE的变化情况高度一致。代谢性酸中毒不能仅基于血液乳酸的增加来解释;提示其他固定酸可能导致血液碳酸氢盐减少。在两个实验组中,PvCO₂持续升高。(A-V)PCO₂显示相同的变化率。这种升高与血浆容量变化程度之间存在良好的关系。因此,PvCO₂升高可能是血流动力学受损的直接后果。在WD和WSD组中,动脉血和混合静脉血样本中的BE均逐渐降低。实验开始后,BEa值低于BEv值。两个实验组中(A-V)BE均呈指数下降;这种变化可归因于混合静脉血中脱氧血红蛋白水平的升高,从而导致固定酸浓度降低。

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