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幼羊在巅峰代谢期间的心血管功能。

Cardiovascular function in young lambs during summit metabolism.

作者信息

Alexander G, Williams D

出版信息

J Physiol. 1970 May;208(1):65-83. doi: 10.1113/jphysiol.1970.sp009106.

Abstract
  1. Cardiac output in lambs less than 3 days old was 50-100% higher during summit metabolism than during exposure to thermoneutral conditions.2. The Fick method, based on oxygen consumption, and the dye dilution method for determination of cardiac output, gave qualitatively similar results, but there were considerable quantitative discrepancies.3. The thermogenic tissues, muscle and brown fat, extracted some 80% of the oxygen from the blood perfusing them during summit metabolism.4. Significant right to left shunts through the foramen ovale were detected in about half of the lambs during the first few days of life; the size and incidence of shunts decreased with advancing age but were apparently independent of environmental conditions.5. During exposure to extreme cold, left to right shunts through the ductus arteriosus were detected in a high proportion of lambs, < 12 hr old, with detectable foramen ovale shunts. Pressure measurements in pulmonary and systemic arteries in very young lambs indicated that right to left shunting via the ductus was unlikely to occur; none was detected.6. Summit metabolism was poorly related to oxygen carrying capacity of blood, but significant correlations of summit metabolism with cardiac output (positive) and with oxygen saturation of mixed venous blood (negative) were observed, though not consistently.7. It is concluded that the great variability of summit metabolism between lambs older than 6 hr is not readily explained in terms of cardiovascular phenomena, but that the quantity and efficiency of thermogenic tissues probably play an important role in limiting summit metabolism.
摘要
  1. 出生不到3天的羔羊在巅峰代谢期间的心输出量比处于热中性条件下时高50%-100%。

  2. 基于耗氧量的菲克法和用于测定心输出量的染料稀释法得出的定性结果相似,但在定量上存在相当大的差异。

  3. 在巅峰代谢期间,产热组织(肌肉和棕色脂肪)从灌注它们的血液中提取了约80%的氧气。

  4. 在出生后的头几天,约一半的羔羊检测到通过卵圆孔的明显右向左分流;分流的大小和发生率随年龄增长而降低,但显然与环境条件无关。

  5. 在暴露于极度寒冷的环境时,在许多小于12小时且检测到卵圆孔分流的羔羊中,检测到通过动脉导管的左向右分流。对非常年幼羔羊的肺动脉和体动脉进行压力测量表明,通过动脉导管的右向左分流不太可能发生;未检测到此类分流。

  6. 巅峰代谢与血液的携氧能力关系不大,但观察到巅峰代谢与心输出量(呈正相关)和混合静脉血的氧饱和度(呈负相关)之间存在显著相关性,不过并非始终如此。

  7. 得出的结论是,6小时以上羔羊的巅峰代谢存在很大差异,这很难用心血管现象来解释,但产热组织的数量和效率可能在限制巅峰代谢方面发挥重要作用。

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