Department of Medicine of the Duke University School of Medicine, Durham, North Carolina.
J Exp Med. 1938 Apr 30;67(5):659-65. doi: 10.1084/jem.67.5.659.
The hydrogen ion concentration in the lesions of experimental pneumococcus infection has been estimated directly by pH determinations on exudates from living animals. For indirect evidence of an increase in hydrogen ion concentration within the lesions, the difference in sugar content between exudate and blood from animals with pneumococcus infection has been measured. With sanguinous exudate from the consolidated lungs of dogs with experimental pneumococcus pneumonia, the findings were not always consistent, but usually there was either direct or indirect evidence of increased hydrogen ion concentration. The physicochemical changes in exudate from animals treated with artificial pneumothorax showed no important differences from those in other specimens. In concurrence with Lord's (1, 2) observation of increased acidity in pneumonia exudate obtained at autopsy, sugar concentrations, which are low in the blood, were markedly reduced in exudates from animals which had died of the infection. Serous exudates from dermal pneumococcus infection in rabbits uniformly showed definite acidity by both direct and indirect methods of estimation. The hydrogen ion concentrations in exudate from dermal pneumococcus infection in rabbits varied between pH 6.87 and 6.66 but were not always proportional to the difference in sugar concentrations between the exudate and blood. While these hydrogen ion concentrations are similar to those attained in the pneumonic exudate from dogs, they are of lesser magnitude than those which Takahashi (3) has described in the pus of secondary empyema due to the pneumococcus.
实验性肺炎球菌感染病灶中的氢离子浓度已通过直接测定活动物渗出物中的 pH 值来估算。为了间接证明病灶内氢离子浓度增加,已测量了肺炎球菌感染动物渗出物和血液中糖含量的差异。在患有实验性肺炎球菌性肺炎的狗的化脓性肺渗出物中,结果并不总是一致,但通常有直接或间接证据表明氢离子浓度增加。人工气胸治疗动物渗出物的理化变化与其他标本没有明显差异。与 Lord 的观察结果一致,尸检时肺炎渗出物酸度增加,血液中糖浓度降低,死于感染的动物渗出物中糖浓度明显降低。兔皮肤肺炎球菌感染的浆液性渗出物通过直接和间接估计酸度的方法均呈明显酸性。兔皮肤肺炎球菌感染渗出物中的氢离子浓度在 pH 6.87 到 6.66 之间变化,但并不总是与渗出物和血液中糖浓度的差异成正比。虽然这些氢离子浓度与狗肺炎性渗出物中的氢离子浓度相似,但与 Takahashi 描述的继发于肺炎球菌的脓胸脓液中的氢离子浓度相比,其程度较小。