Carluccio A, Contri A, Gloria A, Veronesi M C, Sfirro M P, Parrillo S, Robbe D
Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy.
Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy.
Theriogenology. 2017 Jan 1;87:173-178. doi: 10.1016/j.theriogenology.2016.08.021. Epub 2016 Aug 31.
In neonatology, blood gas analysis is a useful tool in the evaluation of the health of newborns and plays a key role in early detection of critically ill subjects. Because blood gas analysis parameters have not previously been studied in any depth in donkey foals, this study was performed on 16 healthy Martina Franca donkey foals born after an uncomplicated delivery. Arterial and venous blood samples were collected at 5 minutes and at 12, 24, 72, and 96 hours of age. Blood gas analysis was performed by a portable analyzer, measuring arterial and venous total carbon dioxide, carbon dioxide partial pressure (pCO), oxygen partial pressure (pO), oxygen saturation (sO), bicarbonate, base excess (BE), pH, and lactate (LT). Lower blood pH values, pO and sO, and a higher level of lactate were found at birth in comparison with subsequent sampling times. This moderate acidotic profile disappeared at 12 hours, when all the parameters became constant until the end of the study period. As expected, significant differences between arterial and venous blood gas parameters related to the oxygenation, such as pO and sO, and partially carbon dioxide partial pressure were found, whereas total carbon dioxide, pH, BE, and LT were comparable in arterial and venous blood samples. For these latter parameters, the highly significant correlation between arterial and venous findings suggests that venous samples could be an acceptable alternative to the arterial sample for blood gas analysis in newborn donkey foals, when the oxygenation status of the patient is not the first goal of patient analysis.
在新生儿学中,血气分析是评估新生儿健康状况的一项有用工具,在危重症患儿的早期检测中发挥着关键作用。由于此前尚未对驴驹的血气分析参数进行过深入研究,本研究对16匹顺产的健康马尔蒂纳弗兰卡驴驹进行了研究。在驹龄5分钟以及12、24、72和96小时时采集动脉血和静脉血样本。使用便携式分析仪进行血气分析,测量动脉血和静脉血中的总二氧化碳、二氧化碳分压(pCO)、氧分压(pO)、氧饱和度(sO)、碳酸氢盐、碱剩余(BE)、pH值和乳酸(LT)。与后续采样时间相比,出生时发现血液pH值、pO和sO较低,乳酸水平较高。这种中度酸中毒情况在12小时时消失,此时所有参数直至研究期结束都保持恒定。正如预期的那样,发现动脉血和静脉血的血气参数在与氧合相关的方面存在显著差异,如pO和sO,以及部分二氧化碳分压,而动脉血和静脉血样本中的总二氧化碳、pH值、BE和LT相当。对于后一组参数,动脉血和静脉血检测结果之间的高度显著相关性表明,当患者的氧合状态不是患者分析的首要目标时,静脉血样本可作为新生驴驹血气分析中动脉血样本的可接受替代方案。