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妊娠晚期羊水过少持续时间延长后羔羊的呼吸功能

Respiratory function in lambs after prolonged oligohydramnios during late gestation.

作者信息

Jakubowska A E, Billings K, Johns D P, Hooper S B, Harding R

机构信息

Department of Physiology, Monash University, Victoria, Australia.

出版信息

Pediatr Res. 1993 Nov;34(5):611-7. doi: 10.1203/00006450-199311000-00011.

DOI:10.1203/00006450-199311000-00011
PMID:8284098
Abstract

Our aim was to determine the effects of oligohydramnios during the last third of ovine gestation on respiratory function in lambs during their first postnatal month. To induce oligohydramnios, amniotic and allantoic fluids were drained from pregnant ewes, starting at 109.0 +/- 2.3 d of pregnancy (term approximately 148 d). In 10 lambs born at term, respiratory function was studied four times at weekly intervals; a group of nine lambs from normal pregnancies served as controls. Over the 4-wk study period, treated lambs had significantly higher breathing rates and smaller tidal volumes than controls, although the differences diminished with age. Minute ventilation and O2 consumption were the same in each group, and when related to body weight, both declined with age. Treated lambs were normoxemic but were hypercapnic compared with controls for up to 4 wk. Functional residual capacity, measured by helium dilution, was the same in each group and increased with age. Static compliance of the respiratory system was lower in treated lambs up to 4 wk; lung compliances were the same in each group, but chest wall compliance was lower in treated lambs than in controls for 4 wk. Postmortem measurements, at 27-28 d, of pulmonary dry weights, DNA contents, and protein contents suggest that the lungs of treated lambs may have been mildly hypoplastic. We conclude that oligohydramnios causes a decreased chest wall compliance, which leads to rapid, shallow breathing and a mild hypercapnia lasting for at least 4 postnatal wk.

摘要

我们的目的是确定绵羊妊娠后期羊水过少对羔羊出生后第一个月呼吸功能的影响。为诱导羊水过少,从妊娠109.0±2.3天(足月约148天)开始,抽取妊娠母羊的羊水和尿囊液。对10只足月出生的羔羊,每隔一周对其呼吸功能进行4次研究;9只正常妊娠母羊所生的羔羊作为对照组。在为期4周的研究期间,尽管差异随年龄增长而减小,但处理组羔羊的呼吸频率显著高于对照组,潮气量则小于对照组。两组的分钟通气量和耗氧量相同,与体重相关时,两者均随年龄增长而下降。处理组羔羊血氧正常,但与对照组相比,有长达4周的高碳酸血症。通过氦稀释法测量的功能残气量在两组中相同,且随年龄增长而增加。在4周内,处理组羔羊呼吸系统的静态顺应性较低;两组的肺顺应性相同,但处理组羔羊的胸壁顺应性在4周内低于对照组。在出生后27 - 28天进行的尸检测量显示,处理组羔羊肺部的干重、DNA含量和蛋白质含量表明其肺部可能有轻度发育不全。我们得出结论,羊水过少会导致胸壁顺应性降低,从而导致呼吸急促、浅快,以及出生后至少4周的轻度高碳酸血症。

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