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急性呼吸性碱中毒和酸中毒与家兔体内肠道离子转运

Acute respiratory alkalosis and acidosis and rabbit intestinal ion transport in vivo.

作者信息

Charney A N, Arnold M, Johnstone N

出版信息

Am J Physiol. 1983 Feb;244(2):G145-50. doi: 10.1152/ajpgi.1983.244.2.G145.

Abstract

The effects of acute respiratory alkalosis and acidosis on electrolyte transport in the rabbit ileum, colon, and gallbladder were studied. During in situ perfusion, anesthetized animals were ventilated with 0, 3, or 8% CO2 gas, creating states of alkalosis (pH 7.49 +/- 0.01, PCO2 = 27.0 +/- 0.9 mmHg, HCO3 = 21.7 mM), normocapnia (pH 7.38 +/- 0.02, PCO2 = 41.3 +/- 1.1 mmHg, HCO3 = 25.9 +/- 0.4 mM), and acidosis (pH 7.21 +/- 0.01, PCO2 = 66.3 +/- 1.3 mmHg, HCO3 = 28.1 +/- 0.8 mM). In the ileum alkalosis decreased the net absorption of water (-36%), sodium (-44%), and chloride (-27%), whereas acidosis had the opposite effect on water (+69%), sodium (+98%), and chloride (+32%) absorption and reduced bicarbonate secretion. Small changes in net potassium absorption occurred in the direction of water movement. There was no effect on the ileal transmural potential difference (PD). The colon and gallbladder did not respond to the acid-base disorders with changes in electrolyte transport or PD. These results suggest that systemic pH and/or PCO2 affect an electroneutral sodium chloride absorptive process in the rabbit ileum. The simple presence of this absorptive process in the gallbladder was not a sufficient basis for this organ to respond to alterations in systemic pH.

摘要

研究了急性呼吸性碱中毒和酸中毒对兔回肠、结肠和胆囊电解质转运的影响。在原位灌注期间,对麻醉动物分别用0%、3%或8%的二氧化碳气体进行通气,从而产生碱中毒(pH 7.49±0.01,PCO₂ = 27.0±0.9 mmHg,HCO₃ = 21.7 mM)、正常碳酸血症(pH 7.38±0.02,PCO₂ = 41.3±1.1 mmHg,HCO₃ = 25.9±0.4 mM)和酸中毒(pH 7.21±0.01,PCO₂ = 66.3±1.3 mmHg,HCO₃ = 28.1±0.8 mM)状态。在回肠中,碱中毒使水(-36%)、钠(-44%)和氯(-27%)的净吸收减少,而酸中毒对水(+69%)、钠(+98%)和氯(+32%)的吸收有相反作用,并减少碳酸氢盐分泌。钾的净吸收随水移动方向发生微小变化。对回肠跨壁电位差(PD)无影响。结肠和胆囊对酸碱紊乱未出现电解质转运或PD的变化。这些结果表明,全身pH值和/或PCO₂影响兔回肠中的电中性氯化钠吸收过程。胆囊中单纯存在这种吸收过程不足以使其对全身pH值的改变作出反应。

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