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孕兔的母体胎盘和子宫肌层血流

Maternal placental and myometrial blood flow in the pregnant rabbit.

作者信息

Duncan S L, Lewis B V

出版信息

J Physiol. 1969 Jun;202(2):471-81. doi: 10.1113/jphysiol.1969.sp008821.

Abstract
  1. In anaesthetized rabbits 27-29 days pregnant (term is 31 days) uterine blood flow was measured in an extracorporeal loop between a carotid and the central end of an external iliac artery, the descending aorta and its other branches being tied. Mean flow was 45 +/- 2 ml. min(-1), or 105 +/- 4 ml. min(-1) per kg uterus and contents in thirty-four litters.2. The partition of uterine blood flow to placentas ( approximately 60%), myometrium ( approximately 27%) and vagina ( approximately 13%) as estimated by injection of isotopelabelled microspheres of 35 or 50 mu diameter, was similar in intact rabbits and in those with an extracorporeal loop.3. Maternal blood flow was greater to the placentas of larger foetuses both absolutely and per unit placental weight. Flow to the placentas of dead foetuses was much less than to those of live foetuses, but flow to the adjacent myometrium was not decreased.4. Maternal hypoxaemia (P(a, O2) approximately 40 mm Hg) caused vasoconstriction in the uterine vascular bed after 3-4 min. The distribution of blood flow within the uterus was altered, the placental fraction falling to 32%. This was unaffected by carotid denervation.5. These observations suggest that there are large differences in the physiological control of maternal blood flow to the placenta, myometrium and vagina.
摘要
  1. 在怀孕27 - 29天(孕期31天)的麻醉家兔中,在颈动脉与髂外动脉中央端之间的体外循环中测量子宫血流量,降主动脉及其其他分支被结扎。平均血流量为45 ± 2毫升·分钟⁻¹,或每千克子宫及其内容物为105 ± 4毫升·分钟⁻¹,共测量了34窝。

  2. 通过注射直径为35或50微米的同位素标记微球估计,完整家兔和有体外循环的家兔中子宫血流量分配到胎盘(约60%)、子宫肌层(约27%)和阴道(约13%)的情况相似。

  3. 无论是绝对量还是单位胎盘重量,母体流向较大胎儿胎盘的血流量都更大。流向死胎胎盘的血流量远低于流向活胎胎盘的血流量,但流向相邻子宫肌层的血流量并未减少。

  4. 母体低氧血症(动脉血氧分压约40毫米汞柱)在3 - 4分钟后导致子宫血管床血管收缩。子宫内血流量分布发生改变,胎盘血流量比例降至32%。这不受颈动脉去神经支配的影响。

  5. 这些观察结果表明,母体流向胎盘、子宫肌层和阴道的血流量在生理控制方面存在很大差异。

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