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pH值和二氧化硫对惰性气体在人全血中溶解度系数的影响。

Effects of pH and SO2 on solubility coefficients of inert gases in human whole blood.

作者信息

Yamaguchi K, Mori M, Kawai A, Asano K, Takasugi T, Umeda A, Kawashiro T, Yokoyama T

机构信息

Department of Medicine, School of Medicine, Keio University, Tokyo, Japan.

出版信息

J Appl Physiol (1985). 1993 Feb;74(2):643-9. doi: 10.1152/jappl.1993.74.2.643.

Abstract

We systematically investigated the quantitative importance of pH and O2 saturation (SO2) of hemoglobin on the solubility coefficients (alpha) for six inert gases: sulfur hexafluoride, N2, ethane, cyclopropane, halothane, and diethyl ether. Measurements of alpha were made at 37 degrees C with SO2 of 0-1.0 and pH of 7.2-7.7 by use of whole blood obtained from three healthy subjects. No significant dependence of alpha on pH was demonstrated for sulfur hexafluoride, N2, halothane, or diethyl ether, but an appreciable augmentation of alpha with increasing pH was found for ethane and cyclopropane. No alpha value obtained for oxygenated blood differed statistically from that for deoxygenated blood. In addition to the basic findings on the effects of pH on alpha values of ethane and cyclopropane with the multiple inert gas elimination technique (data obtained from 22 patients with either interstitial pneumonia or chronic obstructive pulmonary disease), we also found that dependence of alpha on blood pH exerted no significant influence on the recovery of ventilation-perfusion distribution in the lung. We concluded that: 1) pH plays an appreciable role in determining gas solubilities in blood, 2) SO2 is not a decisive factor for gas solubilities in blood, and 3) the influence of various pH values in pulmonary capillaries on inert gas exchange is negligible.

摘要

我们系统地研究了血红蛋白的pH值和氧饱和度(SO2)对六种惰性气体溶解系数(α)的定量影响,这六种惰性气体分别为:六氟化硫、氮气、乙烷、环丙烷、氟烷和乙醚。利用从三名健康受试者采集的全血,在37℃、SO2为0 - 1.0且pH为7.2 - 7.7的条件下测量α值。对于六氟化硫、氮气、氟烷或乙醚,未发现α值对pH有显著依赖性,但对于乙烷和环丙烷,发现α值随pH升高而明显增大。含氧血获得的α值与脱氧血获得的α值在统计学上无差异。除了利用多惰性气体消除技术得出的关于pH对乙烷和环丙烷α值影响的基本发现(数据来自22例间质性肺炎或慢性阻塞性肺疾病患者)外,我们还发现α值对血液pH的依赖性对肺通气 - 灌注分布的恢复没有显著影响。我们得出以下结论:1)pH在决定气体在血液中的溶解度方面起重要作用;2)SO2不是决定气体在血液中溶解度的决定性因素;3)肺毛细血管中不同pH值对惰性气体交换的影响可忽略不计。

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