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马慢性阻塞性肺疾病的生理病理学研究。IV. 静息时的血气和酸碱值。

Studies on the physiopathology of chronic obstructive pulmonary disease in the horse. IV. Blood gas and acid-base values at rest.

作者信息

Littlejohn A, Bowles F

出版信息

Onderstepoort J Vet Res. 1981 Mar;48(1):37-45.

PMID:6792580
Abstract

Radiometer Blood Micro-system 2 was used in studies designed to, (a) compare the mean blood gas and acid-base values of 38 normal horses and 20 horses with chronic obstructive pulmonary disease (COPD), (b) determine the means and standard deviations of blood gas and acid-base values of Thoroughbred horses in training, and (c) investigate the relationships between clinical data, blood gas values, intracardiac and pulmonary arterial pressures in subjects with COPD. There were significant differences between the mean values for partial pressure of arterial oxygen (PaO2), arterial carbon dioxide (PaCO2) and mixed venous carbon dioxide (PvCO2) in normal and COPD subjects. The mean values and standard deviations for determinations of blood gases and acid-base status in Thoroughbred horses in training were as follows: PaO2 = 77,4 +/- 4,3 mm Hg; PvO2 (mixed venous oxygen partial pressure) = 36,2 +/- 4,1 mm Hg; PaCO2 = 40,9 +/- 5,8 mm Hg; PvCO2 = 49,4 +/- 5,0 mm Hg; pHa (arterial) = 7,358 +/- 0,051; pHv (venous) = 7,343 +/- 0,027; standard bicarbonate = 22,7 mM/l. The PaO2, the PaCO2 and the arterial pH were significantly correlated to the respiratory frequency in COPD subjects. The correlations of pulmonary diastolic pressure to both PaO2 and pHa were of probable significance (P less than 0,05) in COPD subjects. PaCO2 was highly significantly correlated to PaO2 and pHa in COPD subjects.

摘要

使用辐射计血液微系统2进行了多项研究,旨在:(a) 比较38匹正常马和20匹患有慢性阻塞性肺疾病(COPD)的马的平均血气和酸碱值;(b) 确定训练中的纯种马的血气和酸碱值的均值及标准差;(c) 研究COPD患者的临床数据、血气值、心内压和肺动脉压之间的关系。正常受试者与COPD受试者的动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)和混合静脉血二氧化碳分压(PvCO2)的均值存在显著差异。训练中的纯种马的血气和酸碱状态测定的均值及标准差如下:PaO2 = 77.4 ± 4.3 mmHg;PvO2(混合静脉血氧分压)= 36.2 ± 4.1 mmHg;PaCO2 = 40.9 ± 5.8 mmHg;PvCO2 = 49.4 ± 5.0 mmHg;pHa(动脉血)= 7.358 ± 0.051;pHv(静脉血)= 7.343 ± 0.027;标准碳酸氢盐 = 22.7 mM/L。在COPD受试者中,PaO2、PaCO2和动脉血pH与呼吸频率显著相关。在COPD受试者中,肺舒张压与PaO2和pHa的相关性可能具有显著意义(P < 0.05)。在COPD受试者中,PaCO2与PaO2和pHa高度显著相关。

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