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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se hace una revisi&#243;n general den transporte de ox&#237;geno orientado principalmente el an&#225;lisis de los aspectos bioqu&#237;micos implicados en &#233;l&#44; comenzando por estudiar el papel de la hemoglobina como transportadora de ox&#237;geno&#44; tanto en lo que se refiere a su concentraci&#243;n como a su afinidad por el ox&#237;geno&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudia el significado de la m&#225;xima capacidad de oxigenaci&#243;n destacando la importancia que puede tener la presencia de caboxihemoglobina en la sangre&#44; ya que &#233;sta disminuye el valor te&#243;rico de la mencionada m&#225;xima capacidad de oxigenaci&#243;n&#46; Se propone una correcci&#243;n para el c&#225;lculo en el laboratorio del ox&#237;geno que transporta una sangre&#44; teniendo en cuenta la concentraci&#243;n de carboxihemoglobina&#44; siempre que se trate de personas fumadoras o se presuma que existan concentraciones elevadas de la misma&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A continuaci&#243;n se hace un estudio profundo de la afinidad de la hemoglobina por el ox&#237;geno a trav&#233;s de la curva de disociaci&#243;n&#44; comenzando por definir la P<span class="elsevierStyleInf">50</span> y discutiendo el significado fisiol&#243;gico de los desplazamientos de dicha curva como consecuencia de los cambios de afinidad&#46; Se describen en detalle la estructura de la mol&#233;cula de hemoglobina&#44; as&#237; como los fen&#243;menos que se producen durante la oxigenaci&#243;n y desoxigenaci&#243;n del tetr&#225;mero de hemoglobina&#46; Se incluyen tambi&#233;n los mecanismos de regulaci&#243;n de la afinidad de la hemoglobina por el ox&#237;geno&#44; resaltando la importancia de los hidro-geniones&#44; PCO<span class="elsevierStyleInf">2</span> y concentraci&#243;n de 2&#44;3 DPG en esta regulaci&#243;n&#44; siendo los aumentos de acidez y PCO<span class="elsevierStyleInf">2</span> mecanismos de acci&#243;n r&#225;pida&#44; mientras que los de 2&#44;3 DPG tardan algunas horas en producirse&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se exponen brevemente los m&#233;todos de medida y se analizan las modificaciones de la afinidad de la hemoglobina por el ox&#237;geno en diversas situaciones fisiol&#243;gicas y patol&#243;gicas&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se describen los mecanismos de consumo de ox&#237;geno a nivel celular&#44; la formaci&#243;n de ATP y la utilizaci&#243;n de la energ&#237;a almacenada en esta mol&#233;cula por el organismo&#46; Por &#250;ltimo&#44; se expone la producci&#243;n de ATP en casos de anaerobiosis por medio de la gluc&#243;lisis anaerobia&#44; destacando que es necesaria la producci&#243;n de una considerable cantidad de &#225;cido l&#225;ctico para satisfacer las necesidades energ&#233;ticas por esta v&#237;a&#46; Se mencionan las limitaciones que supone el empleo del aumento de la relaci&#243;n L&#47;P y el exceso de lactato para diagnosticar las hipoxias celulares&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The authors make a general review of the transportation of oxygen oriented principally towards the analysis of the biochemical aspect implied in this process&#46; They begin by studying the role of hemoglobin as transportation agent of oxygen&#44; both with respect to ist concentration as wel as to its affinity for oxygen&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">They also study the meaning of the maximum capacity of oxygenation&#44; emphasizing the importance that carboxyhemoglobin in the blood can have&#44; as this decreases the theoretical value of the mentioned maximum capacity of oxygenation&#46; They propose a correction for the calculation in the laboratory of the oxygen transported by the blood taking into account the concentration of carboxyhemoglogin&#44; always when the persons treated are smokers or they presume an elevated concentration of the same&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The authors then make a profound study of the affinity of hemoglobin for oxygen through the curve of dissociation&#44; beginning by defining P<span class="elsevierStyleInf">30</span> and discussing the physiological meaning of the displacement of said curve as a consequence of the changes of affinity&#46; They describe in detail the structure of the molecule of hemoglobin as well as the phenomena produced during the oxygenation and desoxygenation of the tetramer of hemoglobin&#46; They also include the mechanisms of regulation fo affinity of hemoglobin for oxygen&#44; emphasizing the importance of hydrogen ions&#44; PCO<span class="elsevierStyleInf">2</span> and concentration of 2&#44;3 DPG in this regulation&#46; The increases of acidity and of PCO<span class="elsevierStyleInf">2</span> are mechanisms of rapid action&#44; whereas those of 2&#44;3 DPG delay some hours in being produced&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The authors then describe birefly the methods of measurement and analyze the modifications of the affinity of hemoglobin for oxygen in diverse physiological and pathological situations&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">They also describe the mechanisms of concumption of oxygen at the cellular level&#44; the formation of ATP and the use of energy stored in this molecule by the organism&#46; Finally&#44; they discuss the production of ATP in cases of anaerobiosis by means of glycolysisanaerobia&#44; emphasizing that the production of a considerable quantity of lactic acid is necessary to satisfy energetic necessities by this route&#46; They mention the limitations that the use of the increase of the relation L&#47;P supposes and the excess of l&#225;clate for diagnozing cellular hypoxias&#46;</p></span>"
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Transporte de oxigeno
Transportation of oxygen
María Teresa García Carmona*
* Jefe Adjunto del Servicio de Funciones Respiratorias. Clínica Puerta de Hierro. Centro Nacional de Investigaciones medico-quirúrgicas de La Seguridad Social. Madrid
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se hace una revisi&#243;n general den transporte de ox&#237;geno orientado principalmente el an&#225;lisis de los aspectos bioqu&#237;micos implicados en &#233;l&#44; comenzando por estudiar el papel de la hemoglobina como transportadora de ox&#237;geno&#44; tanto en lo que se refiere a su concentraci&#243;n como a su afinidad por el ox&#237;geno&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudia el significado de la m&#225;xima capacidad de oxigenaci&#243;n destacando la importancia que puede tener la presencia de caboxihemoglobina en la sangre&#44; ya que &#233;sta disminuye el valor te&#243;rico de la mencionada m&#225;xima capacidad de oxigenaci&#243;n&#46; Se propone una correcci&#243;n para el c&#225;lculo en el laboratorio del ox&#237;geno que transporta una sangre&#44; teniendo en cuenta la concentraci&#243;n de carboxihemoglobina&#44; siempre que se trate de personas fumadoras o se presuma que existan concentraciones elevadas de la misma&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A continuaci&#243;n se hace un estudio profundo de la afinidad de la hemoglobina por el ox&#237;geno a trav&#233;s de la curva de disociaci&#243;n&#44; comenzando por definir la P<span class="elsevierStyleInf">50</span> y discutiendo el significado fisiol&#243;gico de los desplazamientos de dicha curva como consecuencia de los cambios de afinidad&#46; Se describen en detalle la estructura de la mol&#233;cula de hemoglobina&#44; as&#237; como los fen&#243;menos que se producen durante la oxigenaci&#243;n y desoxigenaci&#243;n del tetr&#225;mero de hemoglobina&#46; Se incluyen tambi&#233;n los mecanismos de regulaci&#243;n de la afinidad de la hemoglobina por el ox&#237;geno&#44; resaltando la importancia de los hidro-geniones&#44; PCO<span class="elsevierStyleInf">2</span> y concentraci&#243;n de 2&#44;3 DPG en esta regulaci&#243;n&#44; siendo los aumentos de acidez y PCO<span class="elsevierStyleInf">2</span> mecanismos de acci&#243;n r&#225;pida&#44; mientras que los de 2&#44;3 DPG tardan algunas horas en producirse&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se exponen brevemente los m&#233;todos de medida y se analizan las modificaciones de la afinidad de la hemoglobina por el ox&#237;geno en diversas situaciones fisiol&#243;gicas y patol&#243;gicas&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se describen los mecanismos de consumo de ox&#237;geno a nivel celular&#44; la formaci&#243;n de ATP y la utilizaci&#243;n de la energ&#237;a almacenada en esta mol&#233;cula por el organismo&#46; Por &#250;ltimo&#44; se expone la producci&#243;n de ATP en casos de anaerobiosis por medio de la gluc&#243;lisis anaerobia&#44; destacando que es necesaria la producci&#243;n de una considerable cantidad de &#225;cido l&#225;ctico para satisfacer las necesidades energ&#233;ticas por esta v&#237;a&#46; Se mencionan las limitaciones que supone el empleo del aumento de la relaci&#243;n L&#47;P y el exceso de lactato para diagnosticar las hipoxias celulares&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The authors make a general review of the transportation of oxygen oriented principally towards the analysis of the biochemical aspect implied in this process&#46; They begin by studying the role of hemoglobin as transportation agent of oxygen&#44; both with respect to ist concentration as wel as to its affinity for oxygen&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">They also study the meaning of the maximum capacity of oxygenation&#44; emphasizing the importance that carboxyhemoglobin in the blood can have&#44; as this decreases the theoretical value of the mentioned maximum capacity of oxygenation&#46; They propose a correction for the calculation in the laboratory of the oxygen transported by the blood taking into account the concentration of carboxyhemoglogin&#44; always when the persons treated are smokers or they presume an elevated concentration of the same&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The authors then make a profound study of the affinity of hemoglobin for oxygen through the curve of dissociation&#44; beginning by defining P<span class="elsevierStyleInf">30</span> and discussing the physiological meaning of the displacement of said curve as a consequence of the changes of affinity&#46; They describe in detail the structure of the molecule of hemoglobin as well as the phenomena produced during the oxygenation and desoxygenation of the tetramer of hemoglobin&#46; They also include the mechanisms of regulation fo affinity of hemoglobin for oxygen&#44; emphasizing the importance of hydrogen ions&#44; PCO<span class="elsevierStyleInf">2</span> and concentration of 2&#44;3 DPG in this regulation&#46; The increases of acidity and of PCO<span class="elsevierStyleInf">2</span> are mechanisms of rapid action&#44; whereas those of 2&#44;3 DPG delay some hours in being produced&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The authors then describe birefly the methods of measurement and analyze the modifications of the affinity of hemoglobin for oxygen in diverse physiological and pathological situations&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">They also describe the mechanisms of concumption of oxygen at the cellular level&#44; the formation of ATP and the use of energy stored in this molecule by the organism&#46; Finally&#44; they discuss the production of ATP in cases of anaerobiosis by means of glycolysisanaerobia&#44; emphasizing that the production of a considerable quantity of lactic acid is necessary to satisfy energetic necessities by this route&#46; They mention the limitations that the use of the increase of the relation L&#47;P supposes and the excess of l&#225;clate for diagnozing cellular hypoxias&#46;</p></span>"
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