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胎盘-胎儿血流机制。

Mechanisms of placentofetal blood flow.

作者信息

Reynolds S R

出版信息

Obstet Gynecol. 1978 Feb;51(2):245-9.

PMID:622240
Abstract

The average length of the umbilical cord at delivery is 21 +/- 1 in., but lengths vary from 10 to 50 in. When distended and carrying blood between the fetus and the placenta, the cord is longer; the distended areteries and vein are spiraled about each other. No physiologic data explain the manner by which blood flows from the placenta to fetus. When pressures (60-80 mmHg in arteries 10-20 mmHg in the vein) are recorded simultaneously, arterial pulse pressure has been observed to rise and umbilical vein pressure to fall. They are 180 degrees out of phase. When necessary physical factors are taken into account, it is found that the system satisfies all requirements of a pump known as one of the pulsometer type. This system is one that is widely used by engineers, but it is unique among physiologic systems.

摘要

分娩时脐带的平均长度为21±1英寸,但长度范围在10至50英寸之间。当充盈并在胎儿与胎盘之间输送血液时,脐带会更长;充盈的动脉和静脉相互缠绕呈螺旋状。尚无生理学数据解释血液从胎盘流向胎儿的方式。同时记录压力(动脉为60 - 80 mmHg,静脉为10 - 20 mmHg)时,观察到动脉脉压升高而脐静脉压力下降。它们相位相差180度。考虑到必要的物理因素后发现,该系统满足一种被称为脉动计类型泵的所有要求。这种系统在工程师中广泛使用,但在生理系统中却很独特。

相似文献

1
Mechanisms of placentofetal blood flow.胎盘-胎儿血流机制。
Obstet Gynecol. 1978 Feb;51(2):245-9.
2
Placental release of corticotrophin-releasing hormone across the umbilical circulation of the human newborn.促肾上腺皮质激素释放激素通过人类新生儿的脐循环从胎盘释放。
Placenta. 1999 Mar-Apr;20(2-3):197-202. doi: 10.1053/plac.1998.0357.
3
[Modeling of feto-placental circulation. Clinical applications apropos of 21 patients having no or inverse diastolic umbilical flow].[胎儿-胎盘循环建模。关于21例无舒张期脐血流或舒张期脐血流反向患者的临床应用]
J Gynecol Obstet Biol Reprod (Paris). 1993;22(6):611-9.
4
Plasma renin activity in the intervillous space of the human placenta, in umbilical vessels and in maternal peripheral venous blood.
Rev Bras Pesqui Med Biol. 1978 Jun;11(2-3):141-4.
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Absence of fetal placental waterfall phenomenon in chronically prepared fetal lambs.长期制备的胎羊中无胎儿胎盘瀑布现象。
Am J Physiol. 1976 Apr;230(4):886-92. doi: 10.1152/ajplegacy.1976.230.4.886.
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Study of a regional circulatory system based on the "equivalent tube" concept: the feto-placental circulation.基于“等效管”概念的区域循环系统研究:胎儿 - 胎盘循环
Boll Soc Ital Biol Sper. 1995 Mar-Apr;71(3-4):61-7.
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Cardiovascular responses to forskolin in the ovine fetus.绵羊胎儿对福斯高林的心血管反应。
J Dev Physiol. 1989 Jan;11(1):7-10.
8
Blood flow to the placenta and lower body in the growth-retarded guinea pig fetus.生长迟缓的豚鼠胎儿胎盘和下半身的血流情况。
J Dev Physiol. 1990 May;13(5):261-9.
9
Association of severe placental insufficiency and systemic venous pressure rise in the fetus with increased neonatal cardiac troponin T levels.胎儿严重胎盘功能不全与全身静脉压升高和新生儿心肌肌钙蛋白T水平升高的关联。
Am J Obstet Gynecol. 2000 Sep;183(3):726-31. doi: 10.1067/mob.2000.106753.
10
[The directed flow of the maternal blood in the human placenta].
Fortschr Geburtshilfe Gynakol. 1970;54:53-78.

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脐带的发育、结构及血流,特别涉及静脉系统。
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