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反复急性低氧血症对绵羊胎儿心血管发育的影响。

The effect of repeated acute hypoxaemia on fetal cardiovascular development in the sheep.

作者信息

Steyn C, Hanson M A

机构信息

Department of Obstetrics and Gynaecology, University College London, London WC1E 6HX, UK.

出版信息

J Physiol. 1998 Oct 1;512 ( Pt 1)(Pt 1):295-306. doi: 10.1111/j.1469-7793.1998.295bf.x.

Abstract
  1. Hypoxaemia during intrauterine life may be important in the development of cardiovascular diseases in later life. Thus it was the aim of this study to investigate the effect of repeated acute hypoxia on the cardiovascular development and growth of the fetus. 2. Fourteen fetal sheep (105-109 days gestational age) were instrumented with amniotic and vascular catheters, an electrocardiogram (ECG) electrode and a flow probe around the femoral artery. Seven animals were given repeated acute isocapnic hypoxaemia (Pa,O2 reduced to ca. 13 mmHg) for 1 h every day for 14 days and they were compared to seven animals which remained normoxic throughout with respect to fetal mean arterial blood pressure (MAP), fetal heart rate (FHR), and fetal baro- and chemoreflexes. 3. No differences were found between the two groups of fetuses in FHR, MAP, baro- or chemoreflexes, femoral blood flow, femoral vascular resistance or fetal growth. 4. Repeated acute hypoxaemia of a moderate degree over a period of 2 weeks in late gestation does not affect cardiovascular development or growth in the fetal sheep.
摘要
  1. 宫内生活期间的低氧血症可能对日后心血管疾病的发展具有重要影响。因此,本研究的目的是探讨反复急性缺氧对胎儿心血管发育和生长的影响。2. 对14只胎羊(妊娠105 - 109天)进行手术,在羊膜腔和血管内放置导管、心电图(ECG)电极,并在股动脉周围安置流量探头。7只动物每天接受1小时的反复急性等容性低氧血症(动脉血氧分压降至约13 mmHg),持续14天,并将它们与7只在整个实验过程中保持正常氧合的动物在胎儿平均动脉血压(MAP)、胎儿心率(FHR)以及胎儿压力和化学反射方面进行比较。3. 两组胎儿在FHR、MAP、压力或化学反射、股血流、股血管阻力或胎儿生长方面均未发现差异。4. 在妊娠后期的2周内,反复进行中度急性低氧血症不会影响胎羊的心血管发育或生长。

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