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低氧血症期间胎儿和成年绵羊的血浆血管加压素水平以及外源性血管加压素的心血管效应

Plasma vasopressin levels during hypoxaemia and the cardiovascular effects of exogenous vasopressin in foetal and adult sheep.

作者信息

Rurak D W

出版信息

J Physiol. 1978 Apr;277:341-57. doi: 10.1113/jphysiol.1978.sp012275.

Abstract
  1. Fotetal plasma vasopressin levels were measured by bio-assay in chronically catheterized sheep from 110 to 145 days gestation. 2. In foetuses in good condition resting circulating vasopressin concentrations were generally undetectable (less than 5 micromicron./ml.). In 15% of the samples low concentrations (5-10 micromicron./ml.) were observed. 3. Hypoxaemia in the foetus was caused by allowing the ewe to breathe 9% O2-3% CO2 in N2 for 1 hr. Plasma vasopressin levels rose in the foetus to 119 +/- 32 micromicron./ml., whereas the hormone levels in the ewe were not routinely increased. In the foetus, the rise in plasma vasopressin levels was significantly related to the fall in pH and Pa, O2 during the hypoxia. 4. In foetuses in which the cervical vagosympathetic trunks were cut, the rise in plasma vasopressin levels (to 48 +/- 25 micromicron./ml.) during hypoxaemia was less than in intact foetuses. The increase was related only to the fall in arterial pH and the regression coefficient was less than in intact foetuses. 5. During hypoxaemia arterial pressure rose and heart rate fell in the normal foetuses. The rise in arterial pressure was greatest when the plasma vasopressin concentration was highest. 6. Spontaneous episodes of hypoxaemia (Pa, O2 less than 15 mmHg) and/or acidaemia (pH less than 7.30) occurred in four intact foetuses and four foetuses in which the cervical vagosympathetic trunks were cut; all of the latter lambs died in utero. Plasma vasopressin levels were elevated and the concentrations were inversely related to arterial pH. 7. Intravenous infusions of vasopressin to foetuses increased plasma vasopressin levels to 6-202 micromicron./ml.; the rate of clearance of the hormone was three times that in adult ewes. There was a large increase in arterial pressure and bradycardia. The hypertensive effects of vasopressin were relatively much greater in the foetus than in adult ewes.
摘要
  1. 通过生物测定法,对妊娠110至145天的长期插管绵羊的胎儿血浆血管加压素水平进行了测量。2. 处于良好状态的胎儿,静息循环血管加压素浓度通常无法检测到(低于5微微克/毫升)。在15%的样本中观察到低浓度(5 - 10微微克/毫升)。3. 通过让母羊在氮气中呼吸9%氧气 - 3%二氧化碳1小时来造成胎儿低氧血症。胎儿血浆血管加压素水平升至119±32微微克/毫升,而母羊的激素水平通常没有升高。在胎儿中,血浆血管加压素水平的升高与低氧血症期间pH值和动脉血氧分压(Pa,O2)的下降显著相关。4. 在切断颈迷走交感干的胎儿中,低氧血症期间血浆血管加压素水平的升高(至48±25微微克/毫升)低于完整胎儿。这种升高仅与动脉pH值的下降有关,且回归系数低于完整胎儿。5. 在正常胎儿的低氧血症期间,动脉压升高,心率下降。当血浆血管加压素浓度最高时,动脉压升高最大。6. 四只完整胎儿和四只切断颈迷走交感干的胎儿出现了自发性低氧血症发作(动脉血氧分压低于15 mmHg)和/或酸血症(pH值低于7.30);所有后者的羔羊均在子宫内死亡。血浆血管加压素水平升高,且浓度与动脉pH值呈负相关。7. 向胎儿静脉输注血管加压素使血浆血管加压素水平升至6 - 202微微克/毫升;该激素的清除率是成年母羊的三倍。动脉压大幅升高且出现心动过缓。血管加压素的升压作用在胎儿中相对比成年母羊大得多。

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