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母马妊娠晚期和产后早期的止血特征。

Hemostatic profile during late pregnancy and early postpartum period in mares.

机构信息

Department of Veterinary Science, University of Messina, Messina, Italy.

Department of Veterinary Science, University of Messina, Messina, Italy.

出版信息

Theriogenology. 2014 Mar 1;81(4):639-43. doi: 10.1016/j.theriogenology.2013.12.003. Epub 2013 Dec 11.

Abstract

Hemostasis is a physiological process that prevents excessive blood loss and represents a protective mechanism at the time of delivery. Peripartum hemorrhage is a recurring hazardous condition to mare's health; therefore, we aimed to study mares' hemostatic profile to investigate whether physiological adjustments occur during late pregnancy and early postpartum. Fifteen pregnant mares have been monitored from the 34th week of pregnancy until the third week after foaling. Fifteen nonpregnant mares were used as control group. Jugular blood samples were analyzed for platelet count (Plt), prothrombin time (PT), activated partial thromboplastin time (aPTT), and fibrinogen (Fb). Platelet count showed significant changes at foaling (P < 0.05) and a negative correlation (r = -0.968; P = 0.032) with postpartum. Prothrombin time changed (P < 0.05) showing a significant correlation (r = 0.675; P = 0.016) with late pregnancy. Fibrinogen concentrations changed throughout the experimental period (P < 0.0001). The linear regression model revealed a positive correlation (r = 0.9210; P < 0.0001) between Fb and late pregnancy and a negative correlation (r = -0.9583; P = 0.042) between Fb and early postpartum. The shortening in PT recorded in the imminence of parturition along with the increase in Plt and Fb at foaling might reflect a physiological hypercoagulable state that constrains excessive bleeding, enhancing mares' odds of surviving. Our research improves the knowledge about blood coagulation in periparturient mares providing specific information on routine coagulation tests that may support in monitoring mare's hemostatic profile during late pregnancy and early postpartum.

摘要

止血是一种生理过程,可防止过度失血,是分娩时的一种保护机制。围产期出血是母马健康的一种反复出现的危险情况;因此,我们旨在研究母马的止血特征,以研究在妊娠晚期和产后早期是否发生生理调整。从妊娠第 34 周开始,我们对 15 匹妊娠母马进行了监测,直到分娩后第 3 周。15 匹非妊娠母马被用作对照组。颈静脉血样用于分析血小板计数(Plt)、凝血酶原时间(PT)、活化部分凝血活酶时间(aPTT)和纤维蛋白原(Fb)。产犊时血小板计数发生显著变化(P<0.05),与产后呈负相关(r=-0.968;P=0.032)。凝血酶原时间发生变化(P<0.05),与妊娠晚期呈显著相关(r=0.675;P=0.016)。纤维蛋白原浓度在整个实验期间发生变化(P<0.0001)。线性回归模型显示 Fb 与妊娠晚期呈正相关(r=0.9210;P<0.0001),与产后早期呈负相关(r=-0.9583;P=0.042)。分娩前夕记录到的 PT 缩短,以及产犊时 Plt 和 Fb 的增加,可能反映了一种生理性高凝状态,这种状态限制了过度出血,增加了母马的生存几率。我们的研究提高了围产期母马凝血知识,提供了关于常规凝血试验的具体信息,这些信息可能有助于监测母马在妊娠晚期和产后早期的止血特征。

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