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在清醒、无应激的母羊妊娠最后三个月期间,通过在其胎儿液囊中放置导管,观察羊水和尿囊液的每日变化。

Daily changes in amniotic and allantoic fluid during the last three months of pregnancy in conscious, unstressed ewes, with catheters in their foetal fluid sacs.

作者信息

Mellor D J, Slater J S

出版信息

J Physiol. 1971 Sep;217(3):573-604. doi: 10.1113/jphysiol.1971.sp009587.

DOI:10.1113/jphysiol.1971.sp009587
PMID:5098083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1331564/
Abstract
  1. Catheters were inserted into the maternal and foetal vasculatures of ten ewes, 100-139 days pregnant, and daily samples of uterine and umbilical blood and maternal jugular vein blood were taken for periods of 5-27 days after operation.2. Catheters were inserted into the fluid sacs of nineteen foetuses, 60-97 days post-conception, and daily samples were withdrawn for up to 90 days from amniotic sacs (eleven foetuses) and for up to 70 days from allantoic sacs (eight foetuses). Maternal jugular plasma was obtained 3 times weekly and an approximation from its composition to that of uterine and umbilical plasma was made using results from the ewes and foetuses with vascular catheters.3. The pH, osmolality, [Na(+)], [K(+)], [Cl(-)], [urea] and [amino acid] of all samples were measured.4. The nutritional status of all ewes was monitored throughout pregnancy. Most lambs were born naturally at approximately 147 days post-conception and their subsequent progress was observed.5. Results at operation and from acute experiments were compared with those from conscious ewes and foetuses of the same gestational age to assess the nature and extent of the influence of the operative procedures on foetal fluid composition. The composition of amniotic fluid was influenced mainly by the anaesthetic and surgical procedures while that of allantoic fluid was affected largely by starvation of the ewe.6. Changes during recovery from operation were followed and indicated that maternal and foetal plasma required about 3 days and the foetal fluids up to 7 days before stability of composition was achieved.7. After recovery from operation, daily changes in the composition of each foetal fluid showed the same general pattern in all foetuses, but the absolute values of constituents sometimes showed large differences.8. It is suggested that flow of foetal urine into the amniotic sac increased from 80 days gestational age, that urine flow into the allantoic sac decreased until about 100 days but did not cease thereafter, and that relative to foetal urine the influence of foetal pulmonary fluid on amniotic fluid composition was not great.9. A relative impermeability of the amnion appeared to be a major factor influencing amniotic fluid composition, whereas pumping mechanisms in the chorioallantois seem to have been responsible largely for changes in the composition of allantoic fluid.10. The quantity of solute relative to that of water within each sac appears to be a major determinant of changes in foetal fluid volumes.11. Changes in the [Na(+)] and [K(+)] of allantoic fluid during the normal course of pregnancy were consistent with an increasing action of mineralo-corticoids on pumping mechanisms in the chorioallantois. Similar but more rapid changes seemed to be associated with acute and chronic episodes of maternal hypoglycaemia. Under these circumstances foetal hypoglycaemia may effect a relative increase in the secretion of foetal corticosteroids having an action on the chorioallantois.12. The results from this study demonstrate clearly the value of using chronically catheterized animals, and it is suggested that their use in physiological studies on the conceptus must eventually supersede that of acute, anaesthetized preparations.
摘要
  1. 将导管插入10只怀孕100 - 139天母羊的母体和胎儿血管中,术后5 - 27天每天采集子宫血、脐血和母羊颈静脉血样本。

  2. 将导管插入19个受孕60 - 97天胎儿的液囊中,从羊膜囊(11个胎儿)中每天采集样本,最长达90天,从尿囊(8个胎儿)中每天采集样本,最长达70天。每周采集3次母羊颈静脉血浆,并根据带有血管导管的母羊和胎儿的结果,对其成分与子宫和脐血浆成分进行近似分析。

  3. 测量所有样本的pH值、渗透压、[Na⁺]、[K⁺]、[Cl⁻]、[尿素]和[氨基酸]。

  4. 在整个孕期监测所有母羊的营养状况。大多数羔羊在受孕约147天时自然出生,并观察其随后的发育情况。

  5. 将手术时及急性实验的结果与相同孕周的清醒母羊和胎儿的结果进行比较,以评估手术操作对胎儿液体成分影响的性质和程度。羊水成分主要受麻醉和手术操作影响,而尿囊液成分主要受母羊饥饿影响。

  6. 跟踪术后恢复过程中的变化,结果表明母体和胎儿血浆在成分稳定前需要约3天,胎儿液体则需要长达7天。

  7. 术后恢复后,每个胎儿液体成分的每日变化在所有胎儿中呈现相同的总体模式,但成分的绝对值有时差异很大。

  8. 研究表明,胎儿尿液流入羊膜囊的量从孕龄80天开始增加,尿液流入尿囊的量在约100天前减少但此后并未停止,相对于胎儿尿液,胎儿肺液对羊水成分的影响不大。

  9. 羊膜的相对不渗透性似乎是影响羊水成分的主要因素,而绒毛膜尿囊的泵吸机制似乎在很大程度上导致了尿囊液成分的变化。

  10. 每个囊内溶质与水的量之比似乎是胎儿液体体积变化的主要决定因素。

  11. 在正常孕期,尿囊液中[Na⁺]和[K⁺]的变化与盐皮质激素对绒毛膜尿囊泵吸机制作用的增强一致。类似但更迅速的变化似乎与母体低血糖的急性和慢性发作有关。在这种情况下,胎儿低血糖可能导致对绒毛膜尿囊有作用的胎儿皮质类固醇分泌相对增加。

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