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绵羊的脐血管顺应性

Umbilical vascular compliance in sheep.

作者信息

Power G G, Gilbert R D

出版信息

Am J Physiol. 1977 Dec;233(6):H660-4. doi: 10.1152/ajpheart.1977.233.6.H660.

Abstract

To explore the mechanical properties of umbilical vessels and to test for possible interactions between maternal and fetal circulations, we recorded pressure-volume curves from isolated in situ placentas of 17 sheep. We estimated static umbilical compliance by extrapolating to infinitely slow rates of volume change. We found that compliance averaged .231 +/- .014 SE ml/mmHg per kg fetal wt under control conditions, a value that increased 26.5% when maternal arterial pressure was lowered 85 mmHg (clamping the aorta), but did not change when venous pressure was raised 37 mmHg (clamping IVC). After replacing blood with kerosene which does not penetrate small vessels because of interfacial tension, we found arteries accounted for 22% and veins for 41% of total compliance, leaving 37% attributable to small placental vessels and surrounding tissue. We conclude that umbilical vessels are about one-half as compliant as adult vessels on a body-weight basis, but only slightly less compliant than vessels elsewhere in the fetal body. When maternal vessels expand they interact with surrounding placental tissue, displacing fetal blood and altering the apparent compliance of umbilical vessels.

摘要

为了探究脐血管的力学特性,并测试母胎循环之间可能存在的相互作用,我们记录了17只绵羊离体原位胎盘的压力-容积曲线。我们通过外推至无限缓慢的容积变化率来估计静态脐顺应性。我们发现,在对照条件下,顺应性平均为每千克胎儿体重0.231±0.014标准误毫升/毫米汞柱,当母体动脉压降低85毫米汞柱(夹闭主动脉)时,该值增加了26.5%,但当静脉压升高37毫米汞柱(夹闭下腔静脉)时,该值没有变化。在用煤油替代血液后(由于界面张力,煤油不会穿透小血管),我们发现动脉占总顺应性的22%,静脉占41%,其余37%归因于胎盘小血管和周围组织。我们得出结论,以体重为基础,脐血管的顺应性约为成年血管的一半,但仅略低于胎儿身体其他部位的血管。当母体血管扩张时,它们会与周围的胎盘组织相互作用,置换胎儿血液并改变脐血管的表观顺应性。

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