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乙醇输注对胎儿脑电图和呼吸运动的影响。

Effects of ethanol infusion on foetal EEG and breathing movements.

作者信息

Vojcek L, Lampé L G, Princzkel E, Turnbull A C

机构信息

Department of Obstetrics and Gynaecology, University Medical School, Debrecen, Hungary.

出版信息

Acta Physiol Hung. 1988;71(4):511-5.

PMID:3207039
Abstract

Ethanol (0.3 g/kg and 0.5 g/kg administered over 2 hours) was infused intravenously into 15 chronically instrumented pregnant ewes between 128 to 135 days of gestation (0.85 to 0.92 gestation time, term 147 days). Brainstem dissection above the pons was made in 7 foetuses. Foetal breathing movements were suppressed for 7 hours following a 30 ml ethanol infusion. Low voltage foetal electrocortical activity was suppressed or replaced by an intermediate voltage electrocortical activity for 5 and 3 hours following the 60 ml and 30 ml ethanol infusions, respectively. In brainstem dissected foetuses the effects of ethanol infusion on the foetal EEG were similar. Foetal blood gases and pH were not altered. These data suggest that ethanol moves across the foetal blood-brain barrier and suppresses foetal breathing movements by a direct central mechanism.

摘要

在妊娠128至135天(妊娠时长的0.85至0.92,足月为147天)期间,对15只长期植入仪器的怀孕母羊静脉输注乙醇(2小时内输注0.3克/千克和0.5克/千克)。对7只胎儿进行脑桥上方的脑干解剖。输注30毫升乙醇后,胎儿呼吸运动被抑制7小时。分别输注60毫升和30毫升乙醇后,低电压胎儿皮层电活动被抑制或被中等电压皮层电活动取代,持续时间分别为5小时和3小时。在进行脑干解剖的胎儿中,乙醇输注对胎儿脑电图的影响相似。胎儿血气和pH值未改变。这些数据表明,乙醇可穿过胎儿血脑屏障,并通过直接的中枢机制抑制胎儿呼吸运动。

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