Faber J J, Anderson D F
Department of Physiology, School of Medicine, Oregon Health Sciences University, Portland 97201-3098.
Placenta. 1992 May-Jun;13(3):199-212. doi: 10.1016/0143-4004(92)90035-r.
The sheep is the only species for which there is sufficient information to justify an overview of maternofetal water transfer. Current information points to the following conclusions: (1) the site of water exchange between mother and conceptus is mainly the placenta; (2) the pressure that initiates transfer to the fetus is the osmotic pressure of solutes that are present in higher concentrations in fetal plasma than in maternal plasma, such as urea, fructose, amino acids, bicarbonate and lactate; (3) maternal ultrafiltrate thus attracted into the conceptus arrives there mostly denuded of electrolytes and is strongly hypotonic; thus it is the transfer of electrolyte that restrains the transfer of water; (4) maternofetal transfer of water is strongly facilitated by angiotensin I in the fetal circulation by a sequence of events that has not yet been elucidated; (5) the net combined osmotic and hydrostatic pressure that drives water across the placenta is of the order of only 20 to 80 mm Hg; (6) it is necessary to make a sharp distinction between transfer from mother to conceptus and transfer from one compartment to another compartment within the conceptus. Finally, the review lists certain precautions to be taken in the further study of water exchange between mother and conceptus.
绵羊是唯一有足够信息来对母胎间水转运进行概述的物种。目前的信息指向以下结论:(1)母体与胎儿之间水交换的部位主要是胎盘;(2)引发向胎儿转运的压力是胎儿血浆中浓度高于母体血浆的溶质的渗透压,如尿素、果糖、氨基酸、碳酸氢盐和乳酸;(3)这样被吸引到胎儿体内的母体超滤液到达时大多不含电解质且呈低渗状态;因此,电解质的转运限制了水的转运;(4)胎儿循环中的血管紧张素I通过一系列尚未阐明的事件极大地促进了母胎间水的转运;(5)驱动水穿过胎盘的净渗透压和静水压力之和仅为20至80毫米汞柱左右;(6)必须明确区分从母体到胎儿的转运与胎儿体内从一个隔室到另一个隔室的转运。最后,该综述列出了在进一步研究母体与胎儿间水交换时应采取的某些预防措施。