Koo M W, Cho C H, Ogle C W
Department of Pharmacology, Faculty of Medicine, University of Hong Kong.
Pharmacol Biochem Behav. 1989 Jul;33(3):563-6. doi: 10.1016/0091-3057(89)90388-2.
The present study examines the involvement of acidosis in stress ulceration in rat stomachs. Cold restraint stress for 2 hr did not affect the blood lactate level; however, it produced respiratory acidosis, as reflected by the depressed respiratory rate which was associated with increased CO2 tension and a lowered blood pH. Severe hemorrhagic ulceration was found in the glandular mucosa. The effects of stress on blood pH and the stomach were reversed by IV infusion of NaHCO3. Infusion of HCl IV decreased the blood pH and HCO-3 level and produced gastric ulceration. It is concluded that respiratory acidosis could be involved in stress ulceration. The metabolic acidosis evoked by HCl also induced gastric damage, but the effect was much less.
本研究探讨酸中毒在大鼠胃应激性溃疡形成中的作用。2小时的冷束缚应激未影响血乳酸水平;然而,它导致了呼吸性酸中毒,表现为呼吸频率降低,这与二氧化碳分压升高和血pH值降低有关。在腺性粘膜中发现了严重的出血性溃疡。静脉输注NaHCO₃可逆转应激对血pH值和胃的影响。静脉输注HCl可降低血pH值和HCO₃⁻水平并导致胃溃疡形成。结论是呼吸性酸中毒可能参与应激性溃疡的形成。HCl诱发的代谢性酸中毒也会引起胃损伤,但作用要小得多。