Meldon J H, Garby L
Adv Exp Med Biol. 1976;75:241-9. doi: 10.1007/978-1-4684-3273-2_30.
The model of the respiratory function of blood as outlined here is judged to be a powerful tool for the evaluation of the potential effects of changes in blood as well as tissue parameters upon the supply of oxygen to tissue. The erythrocyte-plasma disequilibria in lung and systemic capillaries which is a consequence of the slowness of plasma CO2 hydrolysis are not significant in terms of the delivery of oxygen to tissue, but result in slightly lower unloading of CO2 in the lungs compared to that which might occur at full equilibration. However, the effects might be of greater interest when relating pH values measured by in vivo sampling to actual values prevailing within the capillaries. The physiological importances of hyperventilation and elevated DPG levels in anemia cannot as yet be clarified. If anything, it appears that increased DPG is a compensatory mechanism to restore proper O2-Hb affinity in alkalosis, while the purpose for an alkalosis is not obvious.
本文所述的血液呼吸功能模型被认为是评估血液及组织参数变化对组织氧气供应潜在影响的有力工具。血浆二氧化碳水解缓慢导致的肺和体循环毛细血管中红细胞 - 血浆失衡,就氧气向组织的输送而言并不显著,但与完全平衡时相比,会导致肺部二氧化碳的卸载略低。然而,当将体内采样测得的pH值与毛细血管内实际存在的值相关联时,这些影响可能更受关注。目前尚无法阐明过度通气和贫血时DPG水平升高的生理重要性。如果说有什么的话,似乎DPG增加是一种在碱中毒时恢复适当氧 - 血红蛋白亲和力的代偿机制,而碱中毒的目的尚不清楚。