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[胎盘的微观结构及某些呼吸酶的活性——在患有经治疗和未经治疗的胎儿宫内发育迟缓综合征的妊娠中]

[Microstructure of placenta and activity of some respiratory enzymes --in pregnancy with treated and untreated fetal intrauterine hypotrophy syndrome].

作者信息

Kubicki J

机构信息

Oddziału Ciazy Powikłanej.

出版信息

Ginekol Pol. 1993 Mar;64(3):161-4.

PMID:8359745
Abstract

The cases of fetal intrauterine hypotrophy syndrome were subjected to rest, dietetic and pharmacological treatment which included intravenous infusions of low molecular Dekstrane, intramuscular injections of Synacthen-Depot, Sadamine and Partusisten. The clear improvement of selected parameters of placenta efficiency during the management was observed. It included: mean increase of blood serum oxytocinase activity about 2.1 U, mean increase of quantity of estrogens excreted in 24-hour urine about 4.1 mg/24 hours, mean decrease of term-stabile alkaline phosphatase activity in blood serum about 16 U. The comparison of the state of hypotrophic newborns found in the group with hypotrophy treated during the course of pregnancy with the group of untreated hypotrophy permits to conclude: statistically significant more rarefied occurrence of newborns of low values according to Apgar scale, hypoglycemia, acidosis, anemia as well as respiratory distress syndrome and five-fold diminished perinatal mortality. It was demonstrated a clear correlation between many parameters of structure and activity of oxygenizing enzymes of placentae existed between the group with treated and untreated hypotrophy.

摘要

对胎儿宫内发育迟缓综合征病例进行了休息、饮食和药物治疗,包括静脉输注低分子右旋糖酐、肌肉注射长效促肾上腺皮质激素、萨达明和帕特苏斯汀。在治疗过程中观察到胎盘效率的选定参数有明显改善。包括:血清催产素酶活性平均增加约2.1 U,24小时尿中排出的雌激素量平均增加约4.1 mg/24小时,血清中足月稳定碱性磷酸酶活性平均降低约16 U。将孕期接受治疗的发育迟缓组中发现的发育迟缓新生儿状态与未治疗的发育迟缓组进行比较,可以得出结论:根据阿普加评分,低体重新生儿、低血糖、酸中毒、贫血以及呼吸窘迫综合征的发生率在统计学上显著降低,围产期死亡率降低了五倍。结果表明,治疗组和未治疗组之间胎盘氧化酶的许多结构和活性参数存在明显相关性。

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