高齢患者動脈血漿内酸塩基平衡の解析
スポンサーリンク
概要
- 論文の詳細を見る
We have previously found that in the normal blood, where a metabolic component of pH, pHo, was ignored, a respiratory component, pH*, was given by a linear logarithmic function of Pco2,; pHo was then obtained by subtracting pH* from the measured value for pH. Analysis of the acid-base imbalance was greatly facilitated by this division of pH into its metabolic and respiratory components. In arterial blood of elderly patients, the regression functions of pH and pH* against pHo were linear. Pco2 was also linearly related to pHo, whereas pH* showed a reciprocal relation to pHo. It was then establishied that about 26% of pHo was compensated for by the change in pH*, so the change in pH was limited to 74% of the change in pHo. Since pH is the sum of pH* and pHo, the deviations of the individual points of pH and pH* from the respective regression lines became equal. Designating the pH and pH* values on the respective regression lines by pH and pH*, pH − pH became equal to pH* − pH*, because pH − pH* = pH − pH*.
- 2008-08-15
著者
-
望月 政司
Emeritus Professor of Yamagata University
-
Masaji Mochizuki
Emeritus Professor of Yamagata University, Yamagata, Japan, Geriatric Respiratory Research Center, Nishimaruyama Hospital, Chuo-Ku, Sapporo, Japan