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[孕期暴露于高原环境及在高原停留:对母亲和胎儿的影响]

[Altitude exposure and staying at high altitude in pregnancy: effects on the mother and fetus].

作者信息

Baumann H, Huch R

出版信息

Zentralbl Gynakol. 1986;108(15):889-99.

PMID:3765945
Abstract

In this paper we review some effects of acute and short-term exposure to altitude on maternal and fetal cardio-pulmonary function. These effects may be seen during commercial aircraft flight or mountain ascent in cablecars. In addition cardio-pulmonary changes during maternal exercise at altitude are discussed. Altitudes up to 2 500 m are well tolerated by mother and fetus in uncomplicated pregnancies. Slight maternal exercise does not provoke fetal heart rate changes. However, in pregnancies at risk, for example because of maternal smoking, precaution with exposure to altitude is justified. Particularly at risk may be stewardesses if they continue their strenuous work while pregnant. Living at high altitude (more than 2 500 m) the lower oxygen partial pressure has some well known negative effects on mother and fetus. The importance of the various mechanisms of acclimatisation and adaptation to hypoxaemia, and other factors influencing reproduction when living at high altitude are reviewed and discussed.

摘要

在本文中,我们回顾了急性和短期暴露于高原环境对母婴心肺功能的一些影响。这些影响可能出现在商业飞机飞行或乘坐缆车登山过程中。此外,还讨论了孕妇在高原地区运动时的心肺变化。在无并发症的妊娠中,海拔高达2500米时母亲和胎儿耐受性良好。轻微的母体运动不会引起胎儿心率变化。然而,对于有风险的妊娠,例如由于母亲吸烟,谨慎对待高原暴露是合理的。如果空乘人员在怀孕期间继续从事高强度工作,她们可能特别危险。生活在高海拔地区(超过2500米),较低的氧分压对母亲和胎儿有一些众所周知的负面影响。本文回顾并讨论了各种适应低氧血症的机制以及其他影响高海拔地区生殖的因素的重要性。

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1
[Altitude exposure and staying at high altitude in pregnancy: effects on the mother and fetus].[孕期暴露于高原环境及在高原停留:对母亲和胎儿的影响]
Zentralbl Gynakol. 1986;108(15):889-99.
2
The pregnant altitude visitor.孕期高原访客。
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[High altitude sojourn in pregnancy and childhood].[孕期和儿童期的高原旅居]
Ther Umsch. 1993 Apr;50(4):246-51.
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[Reaction of mother and fetus to physical stress at high altitude].
Geburtshilfe Frauenheilkd. 1985 Dec;45(12):869-76. doi: 10.1055/s-2008-1036492.
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Travel to high altitude during pregnancy: frequently asked questions and recommendations for clinicians.孕期前往高海拔地区:临床医生常问问题与建议。
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Altitude-aggravated illness: examples from pregnancy and prenatal life.高原加重疾病:来自妊娠及产前生活的实例
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Fetal breathing adaptation to prolonged hypoxaemia in sheep.
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Occupational health of miners at altitude: adverse health effects, toxic exposures, pre-placement screening, acclimatization, and worker surveillance.高原矿工的职业健康:不良健康影响、有毒物质暴露、入职前筛查、适应和工人监测。
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