Hypoxia

HYPOXIA

  • It is a state of inadequate O2 supply to tissue. Absence of O2 is referred as anoxia. The Cerebral effects seen will be mostly as excitement, hallucination, restlessness and unconsciousness. When blood O2 below 13%, breathing is stimulated. The anoxia can be classified into the following types.

Anoxic hypoxia (Ambient hypoxia)

  • This is due to reduced alveolar ventilation and reduced O2 tension in blood caused due to obstruction of air passage, paralysis of respiratory muscle, pulmonary disease or congenital diseases of heart. Ambient anoxia is caused by low pO2 in environmental air in high altitudes or closed space. Symptoms seen are dyspnoea, alkalemia, high cardiac output, increased pulse pressure, dilatation of peripheral vessels.

Anemic anoxia

  • Decrease in O2 carrying capacity of Hb due to low concentration of Hb seen in haemorrhages, anaemia, CO poisoning. In this case the partial pressure of O2 is normal but insufficient O2 delivery to tissue results in increased cardiac output and rapid circulation time.

Stagnant hypoxia

  • The O2 content of arterial blood is normal, but the tissues receive low O2 supply because general or local circulation failure.

Histotoxic hypoxia

  • The tissue oxidation is interfered due cyanide poisoning. Paralysis of cytochrome oxidase system is responsible for this condition. The amount of O2 and pO2 are normal in arterial blood and above normal in venous blood.
Last modified: Saturday, 4 June 2011, 7:55 AM