EXTRACELLULAR PH IN THE BRAIN DURING ISCHEMIA - RELATIONSHIP TO THE SEVERITY OF LACTIC-ACIDOSIS

被引:70
作者
KATSURA, K
EKHOLM, A
ASPLUND, B
SIESJO, BK
机构
[1] UNIV LUND,EXPTL BIOL & ECOL LAB,S-22101 LUND,SWEDEN
[2] UNIV LUND,DEPT ANAESTHESIOL,S-22101 LUND,SWEDEN
[3] NIPPON MED COLL,DEPT INTERNAL MED 2,TOKYO 113,JAPAN
关键词
ISCHEMIA; LACTIC ACIDOSIS; EXTRACELLULAR PH; COMPARTMENTATION OF H+;
D O I
10.1038/jcbfm.1991.109
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
On the basis of data showing a bimodal distribution of values for extracellular pH (pH(e)), and a discontinuous DELTA-PCO2/DELTA-lactate relationship, Kraig et al. (1986) proposed that H+ is grossly compartmentalized between neurons and glia in the ischemic brain. We measured DELTA-pH(e) during ischemia, varying ischemic lactate contents between 9 and 38 mmol kg-1. No bimodal distribution was found, but DELTA-pH(e) varied linearly with lactate content. Because we have also failed to record a discontinuous DELTA-PCO2/DELTA-lactate relationship, we conclude that major compartmentation of H+ does not occur during ischemia.
引用
收藏
页码:597 / 599
页数:3
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