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母马、母牛和母猪胎儿与母体血液中血气张力、氧亲和力及红细胞2,3-二磷酸甘油酸浓度的比较研究。

A comparative study of blood gas tensions, oxygen affinity and red cell 2,3 DPG concentrations in foetal and maternal blood in the mare, cow and sow.

作者信息

Comline R S, Silver M

出版信息

J Physiol. 1974 Nov;242(3):805-26. doi: 10.1113/jphysiol.1974.sp010735.

Abstract
  1. Blood gas tensions, pH, PCV, O(2) affinity and red cell 2,3-diphosphoglycerate (DPG) levels have been measured in uterine and umbilical blood in conscious cows and mares with indwelling vascular catheters and in sows under sodium pentobarbitone anaesthesia.2. Large P(O2) gradients (20-24 mmHg) were observed between the uterine and umbilical venous blood in the cow and pig, while in the mare the corresponding P(O2) difference was only 2.7 +/- 1.7 mmHg. Alterations in maternal arterial P(O2) did not affect the large vein-to-vein P(O2) difference in either ruminant or pig.3. In the cow the presence of different haemoglobin types in the adult (A, AB or B) did not appear to affect the O(2) affinity. In six animals the mean P(50) of the foetal blood (24.8 mmHg) was considerably lower than that of the mother (35.5 mmHg); no changes in P(50) were observed during the last month of gestation. Red cell 2,3-DPG levels were higher in the calf foetus than in the mother, but in the ruminant 2,3-DPG has no effect on the affinity of haemoglobin for O(2) and the differences in P(50) between foetus and mother could be ascribed to the presence of a foetal haemoglobin.4. In the sow large differences in O(2) affinity between foetal and maternal blood were observed, which were related to red cell 2,3-DPG concentration. A rise in foetal blood P(50) during the last half of gestation was associated with increased foetal weight and a rise in red cell 2,3-DPG.5. In the mare the P(50) of the foetal blood was 2-5 mmHg below that of the mother. This difference appeared to be due to the lower 2,3-DPG concentration in the foetal red cells as in the sow; in both species the haemoglobin of the foetus is similar to that of the mother.6. The differences in foetal and maternal O(2) affinity found in the various species and the changes which may occur during gestation or in the perinatal period are discussed in relation to the observed transplacental P(O) (2) gradients and the O(2) requirements of the foetus and neonate.
摘要
  1. 利用留置血管导管,对清醒状态下的母牛和母马以及戊巴比妥钠麻醉下的母猪的子宫血和脐血进行了血气张力、pH值、红细胞压积、氧亲和力及红细胞2,3 - 二磷酸甘油酸(DPG)水平的测定。

  2. 在母牛和母猪中,观察到子宫静脉血和脐静脉血之间存在较大的氧分压(P(O2))梯度(20 - 24 mmHg),而在母马中,相应的P(O2)差值仅为2.7±1.7 mmHg。母体动脉P(O2)的改变对反刍动物或猪的大静脉到静脉的P(O2)差值均无影响。

  3. 在母牛中,成年母牛存在不同类型的血红蛋白(A、AB或B)似乎并不影响氧亲和力。在6只动物中,胎儿血液的平均P(50)(24.8 mmHg)明显低于母体血液的平均P(50)(35.5 mmHg);在妊娠最后一个月未观察到P(50)的变化。小牛胎儿红细胞2,3 - DPG水平高于母体,但在反刍动物中,2,3 - DPG对血红蛋白与氧的亲和力没有影响,胎儿与母体之间P(50)的差异可归因于胎儿血红蛋白的存在。

  4. 在母猪中,观察到胎儿与母体血液的氧亲和力存在较大差异,这与红细胞2,3 - DPG浓度有关。妊娠后半期胎儿血液P(50)的升高与胎儿体重增加及红细胞2,3 - DPG升高有关。

  5. 在母马中,胎儿血液的P(50)比母体低2 - 5 mmHg。这种差异似乎是由于胎儿红细胞中2,3 - DPG浓度较低,与母猪情况相同;在这两个物种中,胎儿的血红蛋白与母体相似。

  6. 结合观察到的经胎盘P(O) (2)梯度以及胎儿和新生儿的氧需求,讨论了不同物种中胎儿与母体氧亲和力的差异以及在妊娠期间或围产期可能发生的变化。

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N Engl J Med. 1969 May 22;280(21):1165-6. doi: 10.1056/NEJM196905222802108.
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