Mayfield S R, Shaul P W, Oh W, Stonestreet B S
Pediatr Res. 1987 May;21(5):482-6. doi: 10.1203/00006450-198705000-00012.
We tested the hypothesis that isovolemic anemia blunts the thermogenic response to environmental cold stress in 3 to 4-day-old newborn piglets. Eight animals were studied in both thermoneutral (31.6-32.8 degrees C) and cold (19.6-20.2 degrees C) environments, before and after an isovolemic, partial volume exchange transfusion which reduced the hematocrit from 26 to 15%. In the nonanemic phase of study, deep rectal temperatures declined but had plateaued by 30 minutes after onset of cold stress and remained within normal limits for newborn piglets. In the anemic phase of study, deep rectal temperature declined continuously throughout cold stress with true body core hypothermia (less than 38 degrees C) observed at all measurement points beyond 15 min of cold stress. Baseline oxygen consumption did not differ between the two study phases (17.6 +/- 1.8 versus 16.7 +/- 2.1 ml/kg-1/min-1, mean +/- SEM). However, during environmental cold stress, oxygen consumption increased by 64% over baseline in the nonanemic phase of study (p less than 0.05) whereas 21% increase over baseline was observed in the anemic phase (p NS). We conclude that isovolemic anemia limited oxygen consumption and heat production during environmental cold stress, resulting in body core hypothermia.
我们验证了这样一个假设,即等容性贫血会减弱3至4日龄新生仔猪对环境冷应激的产热反应。在等容性部分容积交换输血使血细胞比容从26%降至15%之前和之后,对8只动物在热中性环境(31.6 - 32.8摄氏度)和寒冷环境(19.6 - 20.2摄氏度)中进行了研究。在研究的非贫血阶段,深部直肠温度下降,但在冷应激开始后30分钟趋于平稳,并保持在新生仔猪的正常范围内。在研究的贫血阶段,整个冷应激过程中深部直肠温度持续下降,在冷应激15分钟后的所有测量点均观察到真正的体核低温(低于38摄氏度)。两个研究阶段的基线耗氧量无差异(分别为17.6±1.8与16.7±2.1毫升/千克-1/分钟-1,均值±标准误)。然而,在环境冷应激期间,研究的非贫血阶段耗氧量比基线增加了64%(p<0.05),而贫血阶段耗氧量比基线增加了21%(p无统计学意义)。我们得出结论,等容性贫血在环境冷应激期间限制了耗氧量和产热,导致体核低温。