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应用玻尔原理估算人胎儿-胎盘单位代谢率。

Estimation of human fetal-placental unit metabolic rate by application of the Bohr principle.

作者信息

Bonds D R, Crosby L O, Cheek T G, Hägerdal M, Gutsche B B, Gabbe S G

出版信息

J Dev Physiol. 1986 Feb;8(1):49-54.

PMID:3082967
Abstract

The Bohr Principle via continuous indirect calorimetry was used to estimate human fetal-placental unit metabolic rate in 12 normal women undergoing elective caesarean section under continuous lumbar epidural anaesthesia. Maternal oxygen consumption decreased after umbilical cord clamping and after placental removal. Fetal-placental unit oxygen consumption was 10.7 +/- 1.3 ml/min per kg (mean +/- SEM). Fetal oxygen consumption was 6.8 +/- 1.4 ml/min per kg. Placental oxygen consumption was 37 +/- 12 ml/min per kg. Fetal-placental unit carbon dioxide production was 9.2 +/- 1.2 ml/min per kg. These mean values agree favourably with measurements of uterine and fetal metabolism from other mammalian species. Maternal minute ventilation decreased with removal of the fetal-placental unit, and this decrease was found to be linearly related to the fetal-placental unit carbon dioxide production.

摘要

通过连续间接测热法的玻尔原理,对12名在连续腰段硬膜外麻醉下接受择期剖宫产的正常女性的胎儿 - 胎盘单位代谢率进行了估算。脐带钳夹后和胎盘取出后,母体耗氧量下降。胎儿 - 胎盘单位耗氧量为每千克体重10.7±1.3毫升/分钟(均值±标准误)。胎儿耗氧量为每千克体重6.8±1.4毫升/分钟。胎盘耗氧量为每千克体重37±12毫升/分钟。胎儿 - 胎盘单位二氧化碳生成量为每千克体重9.2±1.2毫升/分钟。这些均值与其他哺乳动物物种子宫和胎儿代谢的测量值非常吻合。随着胎儿 - 胎盘单位的取出,母体分钟通气量下降,并且发现这种下降与胎儿 - 胎盘单位二氧化碳生成量呈线性相关。

相似文献

1
Estimation of human fetal-placental unit metabolic rate by application of the Bohr principle.应用玻尔原理估算人胎儿-胎盘单位代谢率。
J Dev Physiol. 1986 Feb;8(1):49-54.
2
Effect of restriction of placental growth on fetal and utero-placental metabolism.胎盘生长受限对胎儿及子宫 - 胎盘代谢的影响。
J Dev Physiol. 1987 Jun;9(3):225-38.
3
Effect of restriction of placental growth on oxygen delivery to and consumption by the pregnant uterus and fetus.胎盘生长受限对妊娠子宫和胎儿氧气输送及消耗的影响。
J Dev Physiol. 1987 Apr;9(2):137-50.
4
The effect of maternal oxygen inhalation upon fetal oxygenation.母体吸氧对胎儿氧合的影响。
J Clin Invest. 1968 Mar;47(3):548-55. doi: 10.1172/JCI105751.
5
The effect of elevation of maternal plasma catecholamines on the fetus and placenta of the pregnant sheep.母体血浆儿茶酚胺升高对妊娠绵羊胎儿及胎盘的影响。
J Dev Physiol. 1986 Jun;8(3):173-86.
6
Formation of progesterone and pregnenolone from (14C)cholesterol by the intact mid-term human foeto-placental unit perfused in vitro.
J Endocrinol. 1971 Mar;49(3):xxxii.
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Metabolism of glucose by fetus and placenta of sheep. The effects of normal fluctuations in uterine blood flow.绵羊胎儿和胎盘对葡萄糖的代谢。子宫血流正常波动的影响。
J Dev Physiol. 1987 Aug;9(4):369-89.
8
Oxygen transfer from mother to fetus during cesarean section under epidural anesthesia.硬膜外麻醉下剖宫产术中母体向胎儿的氧转运。
Anesth Analg. 1982 Jul;61(7):576-81.
9
Physiology of the placenta--gas exchange.胎盘的生理学——气体交换
Ann Clin Lab Sci. 1985 Jul-Aug;15(4):270-8.
10
[Effect of epidural anesthesia on the fetus and the neonate].
Cah Anesthesiol. 1994;42(2):265-73.

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