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胎儿在分娩过程中会被“头皮牵引”吗?

Is the fetus "scalped" in labour?

作者信息

O'Connor M C, Hytten F E, Zanelli G D

出版信息

Lancet. 1979 Nov 3;2(8149):947-9. doi: 10.1016/s0140-6736(79)92636-9.

Abstract

Capillary blood-flow and tissue oxygenation of the scalp and/or forearm skin were measured in the three adult volunteers. Skin pressure required to occlude circulation was much lower for the scalp than for the forearm skin, and tissue oxygenation fell rapidly when capillary blood-flow fell below about 3 ml/100 g tissue/min. Since scalp circulation is not representative of the general circulation when pressure is applied, the tissue oxygenation level of the fetal scalp in labour (obtained by direct sampling or by transcutaneous electrodes) is not a good indicator of the well-being of a fetus.

摘要

在三名成年志愿者身上测量了头皮和/或前臂皮肤的毛细血管血流量及组织氧合情况。阻断头皮血液循环所需的皮肤压力远低于前臂皮肤,当毛细血管血流量降至约3毫升/100克组织/分钟以下时,组织氧合迅速下降。由于施加压力时头皮循环不能代表全身循环,因此分娩时胎儿头皮的组织氧合水平(通过直接取样或经皮电极获得)并非胎儿健康状况的良好指标。

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