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帕罗西汀对产时母婴代谢、酸碱平衡及血气的影响(作者译)

[The effect of Partusisten on the maternal and fetal metabolism, acid-base balance and blood gases intrapartum (author's transl)].

作者信息

Lehmann V

出版信息

Z Geburtshilfe Perinatol. 1977 Feb;181(1):20-4.

PMID:848076
Abstract

Following i.v. injection of 50 g of Partusisten into the mother there occurs, already within 5 min., a rise in the lactate concentration which reaches its peak after 25--30 min. After 25 min, a similar can be shown in the fetus. The fetal pO2 at this time has risen significantly to 2.1 mmHg, while the pCO2 has fallen by 3 mmHg. The increase in lactate concentration both in mother and fetus alters the acid base balance in both. pH is reduced and base deficit is raised, parallel in mother and fetus. The fetal acidosis is probably due to a lactate infusion from the mother.

摘要

给母亲静脉注射50克普贝生后,5分钟内乳酸浓度就会升高,25 - 30分钟后达到峰值。25分钟后,胎儿体内也会出现类似情况。此时胎儿的氧分压显著升至2.1毫米汞柱,而二氧化碳分压下降了3毫米汞柱。母亲和胎儿体内乳酸浓度的增加都会改变两者的酸碱平衡。pH值降低,碱缺失增加,母亲和胎儿的情况相似。胎儿酸中毒可能是由于母亲输入了乳酸。

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