CHANGES IN BLOOD AND AIR IN RESPIRATION. 



683 



The physical theory of respiration furnishes data to show that this 

 loss is due to a dissociation of the oxyhemoglobin, owing to the fact 

 that in passing through the capillaries the blood is brought into 

 exchange with a surrounding medium lymph, cell liquid in 

 which the oxygen pressure is very low. An additional fact of im- 

 portance in this connection is shown by the curves produced 

 in Fig. 275. In the tissues where the oxyhemoglobin undergoes 

 dissociation with the liberation of oxygen, and in the lungs where 

 the hemoglobin takes up oxygen from the alveolar air, the blood 



100 

 90 

 80 



70 



60 



/ 



// 







^ 





10 10 30 40 50 60 70 80 90 100 110 10 130 140 



160 



Fig. 275. Curves of dissociation of the oxyhemoglobin at different pressures of 

 oxygen. Five curves are shown to indicate that the dissociation of the oxyhemoglobin 

 is greatly influenced by the presence of CO 2 . The figures along the orqUnates (10 to 100) 

 indicate percentages of saturation of the hemoglobin with oxygen, while the figures along 

 the abscissa (0 to 160) indicate different pressures of oxygen. The curve marked 5 mm. 

 CO 2 shows the amount of combination of oxygen and hemoglobin when the CO 2 is absent 

 or present only in traces. In this curve at a pressure of 30 mms. of oxygen it will be seen 

 that the hemoglobin is 80 per cent, saturated with oxygen, while with a pressure of 40 mms. 

 of CO 2 , which approximates that in the body, the hemoglobin at the same pressure of 

 oxygen is only 50 per cent, saturated. (After Bohr.) 



is surrounded by a medium containing both oxygen and carbon 

 dioxid. Laboratory experiments show that the presence of the 

 carbon dioxid influences the dissociation curve in the direction 

 indicated in the figure. At a carbon dioxid pressure equivalent to 

 that of the alveolar air (40 mms.) it will be noticed that the curve 

 is lower, that is, at any given pressure of oxygen, 30 mms., for 

 example, less oxygen will be held by the hemoglobin, or the per- 

 centage saturation of the hemoglobin with oxygen will be lower. 

 So also changes in the reaction of the blood toward the acid side, 

 the condition designated in medicine as acidosis, will be accom- 

 panied by a similar lowering of the curve of dissociation, that is, 

 by a diminished capacity of the hemoglobin for oxygen at these 

 pressures below the saturation point. In determining the actual 



