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人体全血的氧气亲和力:二氧化碳的影响

Human whole-blood O2 affinity: effect of CO2.

作者信息

Kwant G, Oeseburg B, Zwart A, Zijlstra W G

机构信息

Department of Physiology, University of Groningen, The Netherlands.

出版信息

J Appl Physiol (1985). 1988 Jun;64(6):2400-9. doi: 10.1152/jappl.1988.64.6.2400.

Abstract

The proton Bohr factor (phi H = alpha log PO2/alpha pH), the carbamate Bohr factor (phi C = alpha log PO2/alpha log PCO2), the total Bohr factor (phi HC = d log PO2/dpH[base excess) and the CO2 buffer factor (d log PCO2/dpH) were determined in the blood of 12 healthy donors over the whole O2 saturation (SO2) range. All three Bohr factors proved to be dependent on SO2, although to a lesser extent than reported in some of the recent literature. At SO2 = 50% and 37 degrees C, we found phi H = -0.428 +/- 0.010 (SE), phi C = 0.054 +/- 0.006, and phi HC = -0.488 +/- 0.007. The values obtained for phi H, phi C, and d log PCO2/dpH were used to calculate phi HC. Calculated and measured values of phi HC proved to be in good agreement. In an additional series of 12 specimens of human blood we determined the influence of PCO2 on phi H and the influence of pH on phi C. At SO2 = 50%, phi H varied from -0.49 +/- 0.009 at PCO2 = 15 Torr to -0.31 +/- 0.010 at PCO2 = 105 Torr and phi C from 0.157 +/- 0.015 at pH = 7.80 to 0.006 +/- 0.009 at pH = 7.00. When on the basis of these data a second-order term is taken into account, a still slightly better agreement between measured and calculated values of phi HC can be attained.

摘要

在12名健康供血者的血液中,测定了整个氧饱和度(SO2)范围内的质子玻尔因子(φH = α log PO2/α pH)、氨基甲酸盐玻尔因子(φC = α log PO2/α log PCO2)、总玻尔因子(φHC = d log PO2/dpH[碱过剩])和二氧化碳缓冲因子(d log PCO2/dpH)。尽管这三个玻尔因子的依赖性比一些近期文献报道的要小,但均被证明依赖于SO2。在SO2 = 50%和37℃时,我们发现φH = -0.428±0.010(标准误),φC = 0.054±0.006,φHC = -0.488±0.007。用于计算φHC的φH、φC和d log PCO2/dpH值是通过实验测定得到的。φHC的计算值和测量值被证明具有良好的一致性。在另外12份人体血液样本中,我们测定了PCO2对φH的影响以及pH对φC的影响。在SO2 = 50%时,φH在PCO2 = 15 Torr时为-0.49±0.009,在PCO2 = 105 Torr时为-0.31±0.010;φC在pH = 7.80时为0.157±0.015,在pH = 7.00时为0.006±0.009。当基于这些数据考虑二阶项时,φHC的测量值和计算值之间能达成更好的一致性。

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