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在长期植入导管的清醒、无应激母羊怀孕的最后两个月期间,胎儿尿液的每日变化及其与羊水、尿囊液和母体血浆的关系。

Daily changes in foetal urine and relationships with amniotic and allantoic fluid and maternal plasma during the last two months of pregnancy in conscious, unstressed ewes with chronically implanted catheters.

作者信息

Mellor D J, Slater J S

出版信息

J Physiol. 1972 Dec;227(2):503-25. doi: 10.1113/jphysiol.1972.sp010045.

Abstract
  1. The fluid sacs and bladders of ten foetuses and the allantoic sacs of five foetuses were catheterized between 79 and 96 days gestational age and daily samples were withdrawn until lambs were born naturally at approximately 147 days. Maternal jugular plasma obtained daily allowed the nutritional status of each ewe to be regulated and monitored. All lambs were observed for 7 weeks, and at post-mortem no abnormalities were seen in those operated upon in utero.2. The osmolality, [Na(+)], [K(+)], [Cl(-)], [glucose], [fructose], [urea], [amino acid] and pH of all samples were measured.3. Foetal surgery seemed to affect the actual concentrations of some solutes, but gestational trends in foetal fluid composition were unaltered.4. Until about 7 days before birth the foetal urine osmolality, [Na(+)], [Cl(-)] and [fructose] decreased, its [urea], [amino acid] and pH remained relatively constant, and from about 120 days gestational age the [K(+)] increased. During the last 7 days there was a marked increase in the osmolality and the concentrations of all these solutes, and a decrease in pH.5. Entry of foetal urine into the fluid sacs tended to decrease the osmolality, [Na(+)], [K(+)], [Cl(-)] and [glucose] of both foetal fluids and the [amino acid] of allantoic fluid, and tended to increase the [fructose] and [urea] of both fluids and the [amino acid] of amniotic fluid.6. Changes in urine composition suggested large daily variations in the secretion of foetal antidiuretic hormone and also a rapid increase in its secretion during the last 7 days, and particularly the last 2-4 days before birth.7. Changes in the [Na(+)]/[K(+)] ratios of foetal urine and allantoic fluid were parallel during post-operative recovery, during the course of pregnancy and immediately before birth, and this was consistent with a simultaneous action of foetal plasma corticosteroids on the foetal kidneys and chorioallantois.8. Variations in the [fructose] of foetal urine and allantoic fluid were parallel to changes in their [Na(+)]/[K(+)] ratios and suggested an involvement of foetal corticosteroids in the regulation of the [fructose] of foetal plasma.9. Further evidence has been presented supporting the hypothesis that maternal induced foetal hypoglycaemia effects a relative increase in the secretion of foetal corticosteroids having an action on the chorioallantois. Also, high concentrations of maternal plasma corticosteroids may decrease the permeability of the placenta to glucose.
摘要
  1. 在妊娠79至96天期间,对10只胎儿的液囊和膀胱以及5只胎儿的尿囊进行插管,并每天采集样本,直至羔羊在约147天自然出生。每天采集母羊颈静脉血浆,以便调节和监测每只母羊的营养状况。对所有羔羊进行了7周的观察,死后检查发现,子宫内接受手术的羔羊没有异常。

  2. 测量了所有样本的渗透压、[Na⁺]、[K⁺]、[Cl⁻]、[葡萄糖]、[果糖]、[尿素]、[氨基酸]和pH值。

  3. 胎儿手术似乎影响了某些溶质的实际浓度,但胎儿液体成分的妊娠趋势未改变。

  4. 直到出生前约7天,胎儿尿液的渗透压、[Na⁺]、[Cl⁻]和[果糖]下降,其[尿素]、[氨基酸]和pH值保持相对恒定,从妊娠约120天起,[K⁺]增加。在最后7天,所有这些溶质的渗透压和浓度显著增加,pH值下降。

  5. 胎儿尿液进入液囊往往会降低胎儿两种液体的渗透压、[Na⁺]、[K⁺]、[Cl⁻]和[葡萄糖]以及尿囊液的[氨基酸],并往往会增加两种液体的[果糖]和[尿素]以及羊水的[氨基酸]。

  6. 尿液成分的变化表明胎儿抗利尿激素的分泌每天有很大变化,并且在最后7天,尤其是出生前最后2 - 4天,其分泌迅速增加。

  7. 在术后恢复期间、妊娠过程中和即将出生前,胎儿尿液和尿囊液的[Na⁺]/[K⁺]比值变化是平行的,这与胎儿血浆皮质类固醇对胎儿肾脏和绒毛尿囊膜的同时作用一致。

  8. 胎儿尿液和尿囊液中[果糖]的变化与其[Na⁺]/[K⁺]比值的变化平行,表明胎儿皮质类固醇参与了胎儿血浆中[果糖]的调节。

  9. 进一步的证据支持了以下假设:母体诱导的胎儿低血糖会导致对绒毛尿囊膜起作用的胎儿皮质类固醇分泌相对增加。此外,母体血浆皮质类固醇的高浓度可能会降低胎盘对葡萄糖的通透性。

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Renal function in the sheep foetus.绵羊胎儿的肾功能。
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The influence of cortisol on glucose utilization in sheep.
Metabolism. 1966 Oct;15(10):922-32. doi: 10.1016/0026-0495(66)90163-6.
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J Endocrinol. 1969 Jun;44(2):285-6. doi: 10.1677/joe.0.0440285.
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Metabolism. 1968 Jul;17(7):644-52. doi: 10.1016/0026-0495(68)90024-3.

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