Conrad E E, Faber J J
Am J Physiol. 1977 Oct;233(4):H475-87. doi: 10.1152/ajpheart.1977.233.4.H475.
Fetal plasma is known to be hyperosmotic with respect to maternal plasma. Although some solutes are actively transported across the placenta and occur in higher concentrations in fetal than in maternal plasma, the total concentration difference is reversed by an opposite difference in the concentrations of electrolytes. Calculations on the basis of the Kedem and Katchalsky equations for a homogeneous membrane demonstrate that active solute transfer and a physiologically plausible hydrostatic pressure difference account for the known rates at which water and electrolytes are accumulated in the fetus. Best estimates of the membrane parameters (per kilogram fetal weight) are PSNa, Cl = 0.23 ml-min-1-kg-1, LpS = 5-10(-6) cm5-min-1-kg-1-dyne-1, and sigma NaCl approximately equal to 0.5. (where PS is the permeability-surface area product, LpS is the filtration coefficient, or sigma is the Staverman reflection coefficient). The driving forces for water and electrolyte transfer (active transfer and hydrostatic pressure) are not used as regulators. Rather, electrolyte permeability, which is the major constraint on fetal growth, and which continuously increases during gestation, makes possible the exponential increase in fetal weight during gestation.
已知胎儿血浆相对于母体血浆是高渗的。尽管一些溶质可通过胎盘进行主动转运,且在胎儿血浆中的浓度高于母体血浆,但电解质浓度的相反差异逆转了总浓度差。基于Kedem和Katchalsky方程对均质膜进行的计算表明,溶质的主动转运以及生理上合理的静水压差解释了胎儿体内水和电解质积累的已知速率。膜参数(每千克胎儿体重)的最佳估计值为:PSNa,Cl = 0.23 ml·min⁻¹·kg⁻¹,LpS = 5×10⁻⁶ cm⁵·min⁻¹·kg⁻¹·dyne⁻¹,且σNaCl约等于0.5。(其中PS是通透系数与表面积的乘积,LpS是滤过系数,σ是Staverman反射系数)。水和电解质转运的驱动力(主动转运和静水压)并未用作调节因子。相反,电解质通透性是胎儿生长的主要限制因素,且在妊娠期间持续增加,这使得胎儿体重在妊娠期间呈指数增长成为可能。