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肺血管外间隙的体内pH值。

The in vivo pH of the extravascular space of the lung.

作者信息

Effros R M, Chinard F P

出版信息

J Clin Invest. 1969 Nov;48(11):1983-96. doi: 10.1172/JCI106164.

Abstract

The partition of 5,5-dimethyloxazolidine-2,4-dione (DMO) and of 11 amines between the vascular and extravascular spaces of the lung has been determined by the multiple indicator dilution technique. Four amines (nicotine, pentylamine, quinine, and benzylamine) were found to have pH-sensitive tissue to blood concentration ratios. Of these, tritiated nicotine appears to be the nost satisfactory indicator of tissue pH and values for the pH of the pulmonary extravascular space (pH(e)) have been calculated from the nicotine data. At an arterial pH (pH(art)) between 7.38 and 7.43 pH(e) averaged 6.69 +/-0.07. Changes in pH(e) usually paralleled but were consistently less than concomitant changes in pH(art). Alterations in P(CO2) at constant pH(art) regularly produced relatively small, parallel changes in extravascular hydrogen ion concentrations. Local alterations in tissue pH due to P(CO2) changes are apparently buffered quite rapidly and the pH(e) of the lung seems more closely linked to pH(art) than the cellular pH of other tissues.DMO, guanidine, methylamine, morphine, and atropine were confined to the vascular volume during the first circulation and could not be used to measure tissue pH. Histamine appeared to be bound to a pH-insensitive site. The extravascular distributions of antipyrine and aniline were unresponsive to alterations in arterial pH, presumably because they are essentially uncharged at pH levels found in the lung.

摘要

采用多指示剂稀释技术测定了5,5-二甲基恶唑烷-2,4-二酮(DMO)和11种胺类物质在肺血管和血管外间隙之间的分配情况。发现4种胺类(尼古丁、戊胺、奎宁和苄胺)的组织与血液浓度比具有pH敏感性。其中,氚标记的尼古丁似乎是最理想的组织pH指示剂,并已根据尼古丁数据计算出肺血管外间隙的pH值(pH(e))。在动脉血pH值(pH(art))为7.38至7.43时,pH(e)平均为6.69±0.07。pH(e)的变化通常与pH(art)的变化平行,但始终小于其相应变化。在恒定pH(art)条件下,P(CO2)的改变通常会引起血管外氢离子浓度相对较小的平行变化。由于P(CO2)变化导致的组织pH局部改变显然能很快得到缓冲,并且肺的pH(e)似乎比其他组织的细胞pH与pH(art)的联系更为紧密。DMO、胍、甲胺、吗啡和阿托品在首次循环期间局限于血管容积内,不能用于测量组织pH。组胺似乎与一个pH不敏感位点结合。安替比林和苯胺的血管外分布对动脉血pH的改变无反应,推测是因为它们在肺内的pH水平下基本不带电荷。

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