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羊水过少持续时间对新生豚鼠胎儿肺发育、成熟及通气模式的影响。

The effect of prolonged oligohydramnios on fetal lung development, maturation and ventilatory patterns in the newborn guinea pig.

作者信息

Moessinger A C, Singh M, Donnelly D F, Haddad G G, Collins M H, James L S

机构信息

Department of Pediatrics, College of Physicians and Surgeons of Columbia University, New York, N.Y.

出版信息

J Dev Physiol. 1987 Oct;9(5):419-27.

PMID:3693821
Abstract

We drained the amniotic fluid surrounding guinea pig fetuses between days 45 and 65 of gestation (term is 67 days). The fetuses were delivered by Cesarean section and the impact of prolonged oligohydramnios on lung growth, maturation and postnatal ventilatory pattern was measured. Untouched littermate fetuses served as controls. Neither fetal body, liver nor brain weights were significantly affected by the experimental situation. When expressed in percent of control values, lung weight (63%), lung/body weight ratio (70%), lung volume (67%), total lung DNA content (63%) and lung DNA per gram of fetal weight (71%) were all significantly less following amniotic fluid drainage, confirming the diagnosis of lung hypoplasia. Disaturated phosphatidylcholine content per gram of lung tissue and total lung glycogen content were not affected by the procedure, indicating that the maturity of the hypoplastic lungs was not delayed. When measured 4 to 6 hours after birth, tidal volume was significantly less (62%) and respiratory frequency was significantly more (137%); however, minute ventilation per unit of body weight was not significantly changed. This animal model of sublethal lung hypoplasia could become useful to study the potential for, and the kinetics of, postnatal catch-up lung growth about which little is known.

摘要

我们在豚鼠妊娠期的第45至65天(妊娠期为67天)抽取了胎儿周围的羊水。通过剖宫产取出胎儿,并测量羊水过少持续时间对肺生长、成熟及出生后通气模式的影响。未受处理的同窝胎儿作为对照。实验情况对胎儿的体重、肝脏重量和脑重量均无显著影响。以对照值的百分比表示时,羊水抽取后肺重量(63%)、肺/体重比(70%)、肺体积(67%)、肺总DNA含量(63%)和每克胎儿体重的肺DNA含量(71%)均显著降低,证实了肺发育不全的诊断。每克肺组织中的二饱和磷脂酰胆碱含量和肺总糖原含量不受该操作影响,表明发育不全肺的成熟并未延迟。出生后4至6小时测量时,潮气量显著减少(62%),呼吸频率显著增加(137%);然而,每单位体重的分钟通气量无显著变化。这种亚致死性肺发育不全的动物模型可能有助于研究出生后肺追赶生长的潜力及动力学,目前对此了解甚少。

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