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作者旨在探讨代谢性酸中毒时脑脊液(CSF)[HCO-3]与PCO2的相互关系。两组代谢性酸中毒模型均由静脉内输入0.2mol/LHCI产生,[HCO-3]a1h内下降到(122)mmol/L。实验6h时CSF[HCO-3]:1组(正常碳酸血性代酸)下降了1.6mmol/L;组(低碳酸血性代酸)下降了7.0mmol/L.CSF[HCO-3]与CSFPco2,显著正相关(r=0.834,P<0.0l).结果说明代谢性酸中毒时CSF[HCO-3]并不受[HCO-3]a的明显影响,主要取决于CSFPco2的变化,其调节机制与脉络丛上皮细胞内CO2的水化作用和CA活性有关。
The aim of this study was to investigate the relationship between cerebrospinal fluid (CSF) [HCO-3] and PCO2 in metabolic acidosis. Metabolic acidosis in both groups was induced by intravenous infusion of 0.2 mol / LHCI and decreased to (122) mmol / L within [HCO-3] a1h. In the experiment 6h CSF (HCO-3): 1 group (normal carbonic acid) decreased 1.6mmol / L; group (hypocapnic acid) decreased 7.0mmol / L. There was a significant positive correlation between CSF [HCO-3] and CSFPco2 (r = 0.834, P <0.01). The results indicate that metabolic acidosis, CSF [HCO-3] is not significantly affected by [HCO-3] a, mainly depends on changes in CSFPco2, its regulation mechanism and choroid plexus CO2 hydration and CA activity related.