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Physiol Rev. 2010 Oct;90(4):1291-335. doi: 10.1152/physrev.00032.2009.
2
Antenatal testing-a reevaluation: executive summary of a Eunice Kennedy Shriver National Institute of Child Health and Human Development workshop.产前检查——重新评估:尤妮斯·肯尼迪·施莱佛国家儿童健康与人类发展研究所研讨会执行摘要
Obstet Gynecol. 2009 Mar;113(3):687-701. doi: 10.1097/AOG.0b013e318197bd8a.
3
Amniotic fluid S100B protein and erythropoietin in pregnancies at risk for fetal hypoxia.胎儿缺氧风险妊娠中的羊水S100B蛋白和促红细胞生成素
Eur J Obstet Gynecol Reprod Biol. 2009 Feb;142(2):115-8. doi: 10.1016/j.ejogrb.2008.10.008. Epub 2008 Nov 29.
4
Sources of amniotic fluid erythropoietin during normoxia and hypoxia in fetal sheep.正常氧合和低氧条件下胎羊羊水促红细胞生成素的来源
Am J Obstet Gynecol. 2006 Jul;195(1):246-54. doi: 10.1016/j.ajog.2005.12.008. Epub 2006 Apr 21.
5
Fetal oxygenation and Doppler ultrasonography of cardiovascular hemodynamics in a chronic near-term sheep model.慢性近足月绵羊模型中胎儿氧合及心血管血流动力学的多普勒超声检查
Am J Obstet Gynecol. 2006 Feb;194(2):542-50. doi: 10.1016/j.ajog.2005.08.028.
6
Physiology of the fetal circulation.胎儿循环生理学。
Semin Fetal Neonatal Med. 2005 Dec;10(6):493-503. doi: 10.1016/j.siny.2005.08.007. Epub 2005 Oct 19.
7
Current perspectives on arterial stiffness and pulse pressure in hypertension and cardiovascular diseases.高血压与心血管疾病中动脉僵硬度和脉压的当前观点
Circulation. 2003 Jun 10;107(22):2864-9. doi: 10.1161/01.CIR.0000069826.36125.B4.
8
Effect of NO, phenylephrine, and hypoxemia on ductus venosus diameter in fetal sheep.一氧化氮、去氧肾上腺素和低氧血症对胎羊静脉导管直径的影响。
Am J Physiol Heart Circ Physiol. 2000 Sep;279(3):H1166-71. doi: 10.1152/ajpheart.2000.279.3.H1166.
9
Vascular potassium channels mediate oxygen-induced pulmonary vasodilation in fetal lambs.血管钾通道介导胎羊氧诱导的肺血管舒张。
Biol Neonate. 2000;77(1):58-68. doi: 10.1159/000014196.
10
Doppler ultrasound evaluation of ductus venosus blood flow during acute hypoxemia in fetal lambs.胎儿羔羊急性低氧血症期间静脉导管血流的多普勒超声评估。
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胎儿肺动脉血管阻抗在近足月的非人类灵长类动物模型中反映胎儿的氧合变化。

Fetal pulmonary arterial vascular impedance reflects changes in fetal oxygenation at near-term gestation in a nonhuman primate model.

机构信息

Department of Obstetrics & Gynecology, Maternal Fetal Medicine Division, Oregon Health & Science University, Portland, OR, USA.

出版信息

Reprod Sci. 2013 Jan;20(1):33-8. doi: 10.1177/1933719112459224. Epub 2012 Sep 18.

DOI:10.1177/1933719112459224
PMID:22991382
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3676239/
Abstract

OBJECTIVE

We tested the hypothesis that fetal pulmonary arterial circulation reacts to changes in fetal oxygenation status at near-term gestation.

STUDY DESIGN

A total of 20 rhesus macaques underwent fetal Doppler ultrasonography at near-term gestation. Right pulmonary artery (RPA), umbilical artery (UA), ductus arteriosus (DA), and ductus venosus (DV) blood velocity waveforms were obtained, and pulsatility index (PI) values were calculated. Fetal right and left ventricular cardiac outputs were determined. Ultrasonographic data were collected during 3 maternal oxygenation states: room air (baseline), hyperoxemia, and hypoxemia.

RESULTS

Fetal RPA PI values increased (P < .05) during maternal hypoxemia and decreased (P < .05) during maternal hyperoxemia, compared with baseline. Maternal hyperoxemia increased (P < .05) DA PI values from baseline. Fetal cardiac outputs, UA, and DV PI values were not affected.

CONCLUSIONS

Our results demonstrate that at near-term gestation, fetal pulmonary arterial circulation is a dynamic vascular bed that reflects acute and short-term changes in fetal oxygenation.

摘要

目的

我们检验了这样一个假设,即在接近足月妊娠时,胎儿肺循环对胎儿氧合状态的变化会产生反应。

研究设计

总共 20 只恒河猴在接近足月妊娠时接受胎儿多普勒超声检查。获取右肺动脉(RPA)、脐动脉(UA)、动脉导管(DA)和静脉导管(DV)的血流速度波形,并计算搏动指数(PI)值。确定胎儿左右心室的心输出量。超声数据在 3 种母体氧合状态下收集:空气(基线)、高氧血症和低氧血症。

结果

与基线相比,胎儿 RPA 的 PI 值在母体低氧血症时增加(P <.05),在母体高氧血症时降低(P <.05)。母体高氧血症使 DA 的 PI 值从基线升高(P <.05)。胎儿心输出量、UA 和 DV 的 PI 值不受影响。

结论

我们的结果表明,在接近足月妊娠时,胎儿肺循环是一个动态的血管床,它反映了胎儿氧合的急性和短期变化。