Jelinek J, Carter A M, Jensen A
Department of Obstetrics and Gynaecology, University of Giessen, F.R.G.
Eur J Obstet Gynecol Reprod Biol. 1991 Nov 3;42(1):71-6. doi: 10.1016/0028-2243(91)90163-f.
To examine brain blood flow and oxygen supply to 14 brain regions in fetal guinea pigs near term, 6 fetuses were catheterized under general anaesthesia of the dam between days 61 and 63 of pregnancy. Fetal arterial blood pressure was measured and a blood sample was taken from the right axillary artery to determine fetal blood gases and acid-base balance. Isotope-labelled microspheres were then injected in a lateral saphenous vein and a reference blood sample was taken from the right axillary artery according to Carter and Gu. Preductal arterial haemoglobin oxygen saturation ranged from 16-33% (26.7 +/- 6.3 mean +/- SD) and pH from 7.08-7.30 (7.20 +/- 0.09); oxygen content varied between 3.0-6.7 ml/dl. Blood flow to the whole brain was 105-258 ml/min per 100 g (167 +/- 58), oxygen supply to the brain was 6.6-10.7 ml O2/min per 100 g (8.0 +/- 1.6). Both regional brain blood flow and oxygen supply were significantly different in the various brain parts. They were highest in the spinal medulla and in other parts of the brain stem and lowest in the cerebrum. Brain blood flow increased significantly with increasing pCO2 and systolic blood pressure and with decreasing haemoglobin oxygen saturation, pH, base excess, and arterial oxygen content. On the other hand, except for the mid portion of the spinal medulla, there were no correlations between blood gas and acid-base balance variables and the oxygen supply to the whole brain or to various regions of the brain.(ABSTRACT TRUNCATED AT 250 WORDS)
为检测近足月豚鼠胎儿14个脑区的脑血流和氧气供应情况,在妊娠第61至63天,对6只豚鼠胎儿在母体全身麻醉下进行导管插入术。测量胎儿动脉血压,并从右腋动脉采集血样以测定胎儿血气和酸碱平衡。然后根据卡特和顾的方法,将同位素标记的微球注入外侧隐静脉,并从右腋动脉采集参考血样。导管前动脉血红蛋白氧饱和度为16% - 33%(平均26.7% +/- 6.3%,标准差),pH值为7.08 - 7.30(7.20 +/- 0.09);氧含量在3.0 - 6.7ml/dl之间。每100g全脑血流量为105 - 258ml/min(167 +/- 58),脑氧气供应为每100g 6.6 - 10.7ml O2/min(8.0 +/- 1.6)。不同脑区的脑血流量和氧气供应均存在显著差异。在延髓和脑干其他部位最高,在大脑中最低。脑血流量随pCO2、收缩压升高以及血红蛋白氧饱和度、pH值、碱剩余和动脉氧含量降低而显著增加。另一方面,除延髓中部外,血气和酸碱平衡变量与全脑或脑不同区域的氧气供应之间无相关性。(摘要截取自250字)