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正常人类新生儿的全血氧亲和力:II)P50、n值及相关参数。

The whole blood oxygen affinity in normal human newborns: II) P50, n value and related parameters.

作者信息

Tosetti F, Fabris C, Oneglia C, Pich P G, Bertero M F, Rabino-Massa E, Marchisio U, Burzio P, Ricco G

出版信息

Boll Soc Ital Biol Sper. 1985 Jan 30;61(1):99-106.

PMID:2579663
Abstract

The cord blood from 82 normal newborns (48 males and 34 females) has been extensively investigated, to check p50, cooperativity and related parameters. The most important results are the following: Neonatal p50 is slightly above 20 torr, in good agreement with the literature data, but this value refers to the p50 "CO-free" (T50); otherwise, the original p50 is slightly less than 22 torr, a value which is not indicative enough, because neonatal blood contains a consistent excess of Hb-CO. Either this CO-excess and the low p50 value seem to be mainly depending on the low binding capacity of Hb-F with DPG, even if further studies are still necessary at regard. The empirical factor correcting adult p50 to T50 is -0.27, a value which must be increased to -0.36 for neonatal blood. Multiple gas analyses of the samples indicate that oxygen transport is a very complicate equilibrium involving pH, CO2, bicarbonate balance and other factors. A complete statistical analysis of the data has been carried out and the main result indicates that oxygen assumption favours CO2 releasing and vice versa, a phenomenon already well known and globally called "Bohr effect".

摘要

对82名正常新生儿(48名男性和34名女性)的脐带血进行了广泛研究,以检查P50、协同性及相关参数。最重要的结果如下:新生儿的P50略高于20托,与文献数据相符,但该值指的是“无CO”时的P50(T50);否则,原始P50略低于22托,该值指示性不足,因为新生儿血液中含有大量过量的Hb-CO。即使在这方面仍需进一步研究,但这种CO过量和低P50值似乎主要取决于Hb-F与DPG的低结合能力。将成人P50校正为T50的经验因子为-0.27,对于新生儿血液,该值必须增至-0.36。对样本进行的多次气体分析表明,氧运输是一个非常复杂的平衡过程,涉及pH值、二氧化碳、碳酸氢盐平衡及其他因素。已对数据进行了完整的统计分析,主要结果表明,氧摄取有利于二氧化碳释放,反之亦然,这一现象早已为人所知,统称为“波尔效应”。

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