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[健康早产犊牛或晚期窒息犊牛动脉血与静脉血气及酸碱值的比较]

[Comparison of arterial and venous blood gas and acid-base values in prematurely born healthy calves or calves with a late asphyxia].

作者信息

Pickel M, Zaremba W, Grunert E

出版信息

Zentralbl Veterinarmed A. 1989 Nov;36(9):653-63.

PMID:2514525
Abstract

The arterial and venous blood gas and acid-base values of 44 calves delivered by caesarean section before term were examined during the first seven days of life. The newborns were divided into two groups based on clinical observations during the first hour of life, the blood pH and the base deficit: Group 1: 30 calves without respiratory distress syndrome (vital, non-asphyxial); they did not develop any diseases in the course of the experiment. Group 2: 14 calves with respiratory distress syndrome (asphyxial); 9 of these animals died in the course of the experiment. The blood gas and acid-base parameters (blood pH, base deficit, pCO2, pO2) measured in venous blood of the calves without respiratory distress syndrome (group 1) were similar to those cited in the literature for calves delivered at term. Among the calves that had survived respiratory distress syndrome, significantly decreased blood pH and increased base deficit values were found in both venous and arterial blood even on the third day after birth. Differences in pCO2 and pO2 were, however, no longer statistically significant between the two groups after 24 hours of life. For blood pH, base deficit, and pCO2 significant correlations were consistently found between the values in venous blood and the corresponding values in arterial blood in vital (non-asphyxial) calves. Due to the considerably smaller number of animals significant correlations between these parameters were less frequent in asphyxial calves, although some of the correlation coefficients were higher than in the vital calves. Experimentally induced influences and animal variation made the corresponding pO2-values of venous and arterial blood in both test groups less unequivocal. The analysis of arterial blood gas and acid-base parameters was not more conclusive than the analysis of venous blood regarding diagnosis and prognosis of respiratory distress syndrome. The blood pH and base deficit seemed to be the most suitable parameters to evaluate the severeness of the disease.

摘要

对44头早产剖宫产出生的犊牛在出生后前7天进行了动脉和静脉血气及酸碱值检查。根据出生后第1小时的临床观察、血液pH值和碱缺失情况,将新生犊牛分为两组:第1组:30头无呼吸窘迫综合征的犊牛(生命体征良好,无窒息);在实验过程中它们未患任何疾病。第2组:14头患有呼吸窘迫综合征的犊牛(窒息);其中9头在实验过程中死亡。未患呼吸窘迫综合征的犊牛(第1组)静脉血中测得的血气和酸碱参数(血液pH值、碱缺失、pCO₂、pO₂)与足月出生犊牛的文献报道值相似。在患有呼吸窘迫综合征且存活下来的犊牛中,即使在出生后第3天,静脉血和动脉血中的血液pH值均显著降低,碱缺失值升高。然而,出生24小时后两组之间pCO₂和pO₂的差异不再具有统计学意义。对于血液pH值、碱缺失和pCO₂,在生命体征良好(无窒息)的犊牛中,静脉血值与动脉血相应值之间始终存在显著相关性。由于动物数量少得多,这些参数之间的显著相关性在窒息犊牛中出现的频率较低,尽管一些相关系数高于生命体征良好的犊牛。实验诱导的影响和动物个体差异使得两个试验组中静脉血和动脉血相应的pO₂值不太明确。关于呼吸窘迫综合征的诊断和预后,动脉血气和酸碱参数分析并不比静脉血分析更具决定性。血液pH值和碱缺失似乎是评估该疾病严重程度最合适的参数。

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