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新生婴儿的环境温度与耗氧量之间的关系。

The relation between environmental temperature and oxygen consumption in the new-born baby.

作者信息

Hey E N

出版信息

J Physiol. 1969 Feb;200(3):589-603. doi: 10.1113/jphysiol.1969.sp008710.

Abstract
  1. Oxygen consumption (V(O2)) has been measured serially in sixty-eight infants during the first 10-35 days of life, when naked in a Perspex metabolic chamber, by recording the changes in circulating gas volume. Air speed in the chamber was 4-5 cm/sec, and absolute humidity approximately 18 mm Hg.2. When environmental temperature (T(E)) was 35-38 degrees C minimal V(O2) rose from 5 to 7 ml.O(2)/kg.min during the first 2 days of life in infants weighing over 2.5 kg, and more slowly in the first 7-10 days in infants under 2 kg at birth.3. Physical activity and V(O2) both increased when T(E) fell below 33 degrees C: the increase appeared to be linearly and inversely related to T(E), but the rise in heat production was seldom enough to prevent a fall in rectal temperature. In infants over 2.5 kg at birth the mean increase amounted to 0.56 ml.O(2)/kg.min for each 1 degrees C fall in T(E) when 4-12 hours old, and 1.27 ml.O(2)/kg.min when between 4 and 20 days old. In infants weighing 1-2 kg at birth the mean increase was similar in the first 12 hr, but the coefficient rose more gradually with age.4. The maximum V(O2) in infants over 2.5 kg at birth and over 2 days old was about 2(1/2) times the minimum V(O2); the maximum was rather lower in most infants of low birth weight.5. In seven infants who were motionless and apparently asleep after sedation with chloral hydrate, the increase in V(O2) at low T(E) was reduced but still significant.6. It is concluded that the new-born baby responds to a cool environment with a considerable immediate increase in heat production; visible muscular activity appears to account for only part of this increase.
摘要
  1. 在68名婴儿出生后的第10至35天,当他们裸体置于有机玻璃代谢舱中时,通过记录循环气体体积的变化,连续测量了耗氧量(V(O2))。舱内风速为4 - 5厘米/秒,绝对湿度约为18毫米汞柱。

  2. 当环境温度(T(E))为35 - 38摄氏度时,体重超过2.5千克的婴儿在出生后的头2天,最低V(O2)从5毫升·O(2)/千克·分钟升至7毫升·O(2)/千克·分钟;出生时体重不足2千克的婴儿在出生后的头7至10天内上升较为缓慢。

  3. 当T(E)降至33摄氏度以下时,身体活动和V(O2)均增加:这种增加似乎与T(E)呈线性反比关系,但产热的增加很少足以防止直肠温度下降。出生时体重超过2.5千克的婴儿,在4 - 12小时大时,T(E)每下降1摄氏度,平均增加量为0.56毫升·O(2)/千克·分钟;在4至20天大时,为1.27毫升·O(2)/千克·分钟。出生时体重为1 - 2千克的婴儿,在头12小时内平均增加量相似,但该系数随年龄增长上升得更为缓慢。

  4. 出生时体重超过2.5千克且出生超过2天的婴儿,最大V(O2)约为最低V(O2)的2(1/2)倍;大多数低体重婴儿的最大值相对较低。

  5. 在7名用氯水合氯醛镇静后静止且明显入睡的婴儿中,低T(E)时V(O2)的增加有所减少,但仍很显著。

  6. 得出的结论是,新生儿对凉爽环境的反应是产热立即大幅增加;可见的肌肉活动似乎仅占这种增加的一部分。

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THE BASAL METABOLIC RATE OF PREMATURE INFANTS.早产儿的基础代谢率
Biol Neonat. 1964;7:11-25. doi: 10.1159/000239910.
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RELATIVE HYPERMETABOLISM IN UNDERGROWN HUMAN NEONATES.
Lancet. 1964 Jul 4;2(7349):49. doi: 10.1016/s0140-6736(64)90055-8.
9
Rectal temperature in the newborn after birth asphyxia.出生窒息后新生儿的直肠温度。
Br Med J. 1958 Nov 15;2(5106):1197-9. doi: 10.1136/bmj.2.5106.1197.

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