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总二氧化碳含量恒定和可变时人体血液的温度与酸碱状态

Temperature and acid-base status of human blood at constant and variable total CO2 content.

作者信息

Castaing M, Pocidalo J J

出版信息

Respir Physiol. 1979 Oct;38(2):243-56. doi: 10.1016/0034-5687(79)90040-9.

Abstract

The influence of temperature on the acid-base status of normal human blood was studied in closed systems (constant CCO2) and open systems (variable CCO2). pH-T coefficients of true plasma and erythrocytes in closed systems were similar to coefficients for water (dpH/dT = -0.017 U/degrees C at 25 degrees C). Between 26 degrees C and 42 degrees C there was no significant variation in the relative alkalinities [OH-]/[H+], the charge state of proteins in plasma and erythrocytes or the proton Donnan ration. The equations established enabled calculation of the pH of true plasma and erythrocytes and of blood PCO2 and temperature, using only one of these four parameters. Under open-system conditions, temperature was shown to cause a rise in the apparent buffer power of whole blood non-bicarbonate systems (28.8 and 34.8 mM.l-1.u-1 at 26 degrees C and 42 degrees C respectively). These results show (1) that erythrocytes in closed systems seem very well able to maintain proton distribution regardless of temperature fluctuations and (2) when blood temperature rises, it cannot be excluded that vital organs are better protected against respiratory disturbances.

摘要

在封闭系统(恒定二氧化碳含量)和开放系统(可变二氧化碳含量)中研究了温度对正常人血液酸碱状态的影响。封闭系统中真实血浆和红细胞的pH-T系数与水的系数相似(25℃时dpH/dT = -0.017 U/℃)。在26℃至42℃之间,相对碱度[OH-]/[H+]、血浆和红细胞中蛋白质的电荷状态或质子唐南比率均无显著变化。所建立的方程能够仅使用这四个参数中的一个来计算真实血浆和红细胞的pH值以及血液二氧化碳分压和温度。在开放系统条件下,温度导致全血非碳酸氢盐系统的表观缓冲能力升高(26℃和42℃时分别为28.8和34.8 mM·l-1·u-1)。这些结果表明:(1)封闭系统中的红细胞似乎能够很好地维持质子分布,而不受温度波动的影响;(2)当血液温度升高时,不能排除重要器官能更好地抵御呼吸干扰。

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