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妊娠0.6 - 0.7期胎羊对急性低氧血症的反应。

Responses to acute hypoxemia in fetal sheep at 0.6-0.7 gestation.

作者信息

Iwamoto H S, Kaufman T, Keil L C, Rudolph A M

机构信息

Cardiovascular Research Institute, University of California, San Francisco 94143.

出版信息

Am J Physiol. 1989 Mar;256(3 Pt 2):H613-20. doi: 10.1152/ajpheart.1989.256.3.H613.

Abstract

A majority of previous studies of fetal responses to acute hypoxemia has focused on the response of the sheep fetus greater than 120 days of gestation when many regulatory systems have been established. To assess the response of younger, less well-developed fetuses, we exposed two groups of fetal sheep (I, 84-91 days; II, 97-99 days gestational age) to acute hypoxemia by giving the ewe a gas mixture containing 9% O2 to breathe. We decreased descending aortic PO2 in both groups of fetuses [I, 24 +/- 6 to 14 +/- 3 (SD) Torr; II, 23 +/- 3 to 12 +/- 4 Torr] by a degree similar to that achieved in previous studies of fetuses greater than 120 days of gestation. Mean arterial blood pressure (I, 31 +/- 6; II, 40 +/- 3 Torr) did not change significantly from control values, and heart rate (I, 224 +/- 27; II, 203 +/- 16 beats/min) increased significantly in group II fetuses with hypoxemia. In group I and II fetuses, as in older fetuses, cerebral, myocardial, and adrenal blood flows, measured by the microsphere technique, increased, and pulmonary blood flow decreased. These responses mature early and are likely local vascular responses to decreases in oxygen content. Combined ventricular output and umbilical-placental blood flow decreased significantly in both groups. Unlike the response of the fetus greater than 120 days, acute hypoxemia did not decrease blood flow to the musculoskeletal and cutaneous circulations (group I only), gastrointestinal, or renal circulations.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

以往大多数关于胎儿对急性低氧血症反应的研究都集中在妊娠120天以上的绵羊胎儿,此时许多调节系统已经建立。为了评估更年幼、发育不完善的胎儿的反应,我们将两组胎羊(I组,妊娠84 - 91天;II组,妊娠97 - 99天)暴露于急性低氧血症中,方法是给母羊吸入含9%氧气的混合气体。我们使两组胎儿的降主动脉血氧分压降低[I组,从24±6降至14±3(标准差)托;II组,从23±3降至12±4托],降低程度与以往对妊娠120天以上胎儿的研究相似。平均动脉血压(I组,31±6;II组,40±3托)与对照值相比无显著变化,II组低氧血症胎儿的心率(I组,224±27;II组,203±16次/分钟)显著增加。与年长胎儿一样,I组和II组胎儿通过微球技术测量的脑、心肌和肾上腺血流量增加,肺血流量减少。这些反应成熟较早,可能是对氧含量降低的局部血管反应。两组的心室联合输出量和脐 - 胎盘血流量均显著减少。与妊娠120天以上的胎儿不同,急性低氧血症并未减少肌肉骨骼和皮肤循环(仅I组)、胃肠道或肾脏循环的血流量。(摘要截短于250字)

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