Sparks J W, Hay W W, Meschia G, Battaglia F C
Eur J Obstet Gynecol Reprod Biol. 1983 Feb;14(5):331-40. doi: 10.1016/0028-2243(83)90009-6.
Utilizing the Fick Principle, the fluxes of oxygen and glucose leaving the uterine circulation and entering the fetal umbilical circulation were measured simultaneously in 35 chronically catheterized sheep. Additionally, the distribution of placentally produced lactate into the uterine and umbilical circulations was measured by the same techniques. Under unstressed conditions, placental oxygen consumption accounted for approximately half the oxygen exiting the uterine circulation. Placental glucose consumption averaged 75% of the glucose exiting the uterine circulation, and this proportion increased with decreasing glucose concentration in the maternal artery. Lactate was produced at a high rate by all placentae, and distributed disproportionately to the fetus, in spite of higher fetal lactate concentration. Fetal metabolism was aerobic, as demonstrated by a high rate of net oxygen consumption and a high rate of net lactate consumption. Fetal oxygen metabolism correlated well with fetal weight and with the sum of net fetal lactate and glucose consumption.
利用菲克原理,在35只长期插管的绵羊中,同时测量了离开子宫循环并进入胎儿脐循环的氧气和葡萄糖通量。此外,采用相同技术测量了胎盘产生的乳酸在子宫和脐循环中的分布。在无应激条件下,胎盘耗氧量约占离开子宫循环氧气的一半。胎盘葡萄糖消耗量平均占离开子宫循环葡萄糖的75%,且这一比例随着母体动脉中葡萄糖浓度的降低而增加。尽管胎儿乳酸浓度较高,但所有胎盘均以较高速率产生乳酸,且乳酸在胎儿中的分布不成比例。胎儿代谢为有氧代谢,这表现为较高的净耗氧率和较高的净乳酸消耗率。胎儿氧代谢与胎儿体重以及胎儿净乳酸和葡萄糖消耗量之和密切相关。