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化合物NA872对未麻醉胎羊心肺成熟的影响。

Influence of the compound NA872 on cardiopulmonary maturation in the unanaesthetised fetal lamb.

作者信息

Maloney J E, Brodecky V

出版信息

Biol Neonate. 1980;37(5-6):225-32. doi: 10.1159/000241280.

Abstract

15 fetal lambs were instrumented on approximately day 100 (term 147 days) with small catheters in their jugular veins, carotid arteries and tracheas and fine electrodes in their diaphragms and on the lateral surfaces of their thoraces. Measurements were made intermittently of carotid arterial pressure, jugular venous pressure, amniotic fluid pressure, ECG and electrical activity in the diaphragm for 2-hour periods up to day 120. From day 120, two hourly recordings were made daily and samples of lung liquid taken until day 130. On this day, studies of lung mechanics were made on selected fetuses. From day 120, 8 animals were treated with the compound NA872 and 7 animals were given a control infusion of normal saline. In comparison to control animals the lecithin-sphingomyelin (L:S) ratio increased in the test fetuses from days 125--130; respiratory activity (diaphragmatic EMG) was suppressed in the test animals suggesting a more mature respiratory system; but resting lung volume on the test animals was smaller. Heart rate decreased as rapidly in the test animals while changes in systemic vascular pressures were similar. These results indicate that while the lungs are more 'mature' in that L:S ratio is increased, resting lung volumes are smaller, and respiratory activity is decreased. They raise the interesting questions of the influence of fetal respiratory activity on lung and thoracic cage development and the possible direct action of the drug NA872 on the respiratory pattern generator and the lung.

摘要

15只胎羊在大约第100天(孕期147天)时,在其颈静脉、颈动脉和气管中插入细导管,并在其膈肌和胸廓外侧放置精细电极。在第120天之前,间歇性测量颈动脉血压、颈静脉压、羊水压力、心电图和膈肌的电活动,每次测量2小时。从第120天起,每天进行两次每小时的记录,并采集肺液样本直至第130天。在这一天,对选定的胎儿进行肺力学研究。从第120天起,8只动物用化合物NA872治疗,7只动物给予生理盐水对照输注。与对照动物相比,试验胎儿的卵磷脂 - 鞘磷脂(L:S)比值在第125 - 130天有所增加;试验动物的呼吸活动(膈肌肌电图)受到抑制,表明呼吸系统更成熟;但试验动物的静息肺容积较小。试验动物的心率下降速度与对照动物一样快,而全身血管压力的变化相似。这些结果表明,虽然肺部在L:S比值增加方面更“成熟”,但静息肺容积较小,呼吸活动减少。它们提出了有趣的问题,即胎儿呼吸活动对肺和胸廓发育的影响,以及药物NA872对呼吸模式发生器和肺的可能直接作用。

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