The normal alveolar-arterial oxygen-tension gradient in man.

نویسندگان

  • E A Harris
  • A M Kenyon
  • H D Nisbet
  • E R Seelye
  • R M Whitlock
چکیده

2. The gradient increased with age and with inspired O2 concentration up to 60%. Above 60%, during normal breathing, there was no significant change in gradient. 3. Breathing 100% 0, in deep breaths decreased the gradient in all age-groups, significantly so in subjects of 50 years and younger. The remaining gradient was due to anatomical venous shunt. 4. When this anatomical shunt was allowed for, the differences in gradient between age-groups were largely abolished at all inspired O2 conceqtrations. The gradient which was not due to anatomical shunt, when breathing air, remained higher in subjects over 60 years than in the younger subjects. 5. The results can be interpreted to mean that three components contribute to the normal gradient : (a) irreversible anatomical shunt; (b) closed, unventilated alveoli which can only be inflated by deep breaths; and (c) cyclical airway closure during normal breathing in subjects over 60 years. Diffusion disequilibrium may contribute a gradient of up to 3 mmHg during the breathing of low 0, concentrations. 100%.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Blood oxygenation during hyperpressure intraperitoneal fluid administration in a rabbit model of severe liver injury: Evaluation of a novel concept for control of pre-hospital liver bleeding

Oxygen is an essential part of the most important metabolic pathways in aerobic organisms. Oxygen delivery is merely dependent on blood, rendering blood loss a devastating event. Traumatic pre-hospital liver bleeding is a major cause of early trauma deaths in human and animals, with no established therapeutic method yet. Increasing intra-abdominal pressure (IAP) has been shown to reduce liver b...

متن کامل

Hypoxic ventilatory drive in normal man.

A technique is described which permits the inscription of the ventilatory response to isocapnic hypoxia in man as a continuous curve relating alveolar oxygen tension and minute ventilation. The adjustment of ventilation to changes in alveolar oxygen tension is complete in 18-23 sec and this is sufficiently rapid to justify the use of a non-steady-state method. Changes in alveolar carbon dioxide...

متن کامل

Studies of peripheral circulation during sickle-cell crisis.

IT IS WELL recognized that patients with sickle-cell disease may have a low saturation and tension of arterial blood oxygen. Although arterial anioxemia was first observed in 1942, its exact mechanism is still unknown.1 It has been shown that the hemoglobin dissociation curve of these patients is shifted to the right, probably because of a decrease in erythrocyte pH.2, 3 Therefore, a norimal le...

متن کامل

Blood-gas changes and pulmonary hemodynamics following acute myocardial infarction.

SUMMARY Arterial and mixed venous oxygen tensions were measured in 24 patients following acute myocardial infarction while they were breathing air and 100% oxygen. Total venous admixture and the right-to-left shunt during 100% oxygen breathing were calculated. These data were related to the pulmonary arterial diastolic pressure, the cardiac index, and the central blood volume. Patients with myo...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Clinical science and molecular medicine

دوره 46 1  شماره 

صفحات  -

تاریخ انتشار 1974