The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
It is quite otherwise with regard to the liberation of carbonic acid.
The problems presented by the solution of this gas in blood and its
elimination in the lungs are difficult to solve. Less than one-tenth
of the volume of carbonic acid which can be extracted from blood by
the air-pump is simply in solution. The remainder is in loose chemical
combination, the chief agents in holding it being the alkaline
carbonates which the plasma contains. With an excess of carbonic acid
they form acid carbonates, which give up carbonic acid and again become
normal carbonates in the lungs. About one-third of the carbonic acid
is, however, held by the blood-corpuscles—partly in virtue of their
alkaline carbonates and phosphates, partly in combination with their
globulin. The affinity of these several vehicles for carbonic acid is
sufficient to enable them to take it from the lymph, and to hold it
while the blood is in the veins. When they reach the capillaries of the
lungs, they part with their burden of carbonic acid to the air. It is
in connection with this renunciation that certain difficulties remain
to be explained. The carbonic acid is given up with greater readiness
than our knowledge of the chemistry of the compounds into which it
enters in the blood would lead us to expect.
Why does oxygen enter blood as it circulates through the lungs, and
carbonic acid leave it? We have referred to the immense surface which
the lungs expose to air. If a soap-bubble be filled with a mixture of
oxygen, nitrogen, and carbonic acid, and if the oxygen be in smaller
proportion, and the carbonic acid be in greater proportion, than in
the air of the room, oxygen will enter the bubble, and carbonic acid
will leave it, by diffusion. If, instead of filling a bubble with gas,
we fill a bladder with water charged with carbonic acid, but destitute
of dissolved oxygen, a similar exchange with the gases of the air will
take place. It is merely a question of “gaseous tension.” The tension
of the gases in the lungs is measured by passing a small tube down
the trachea, and along one of the two chief bronchi until it becomes
blocked in a bronchus just large enough to admit it. Respiration is
carried on under normal conditions in the remainder of the lung; but
in the lobe which the catheter blocks diffusion from stationary air
to tidal is no longer allowed. At the same time, since the circulation
is not interfered with, the gases in the blood of the occluded lobe of
the lung are not in markedly different proportions from those in the
air-chambers of other parts. If at the end of a sufficient interval
the air of the occluded lobe is drawn off and its gases measured,
their tensions can be compared with the tensions of gases in specimens
of arterial and of venous blood. If from 10 c.c. of fluid 1 c.c. of
gas can be removed by the air-pump, the volume of gas dissolved is
10 per cent. of the volume of the fluid which dissolved it. Commonly
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