首页> 美国卫生研究院文献>The Journal of Physiology >The effects of maternal hypercapnia on foetal oxygenation and uterine blood flow in the pig.
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The effects of maternal hypercapnia on foetal oxygenation and uterine blood flow in the pig.

机译:产妇高碳酸血症对猪的胎儿氧合和子宫血流的影响。

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摘要

1. The purpose of this investigation was to determine the effects of maternal hyperoxaemia and hypercapnia on the uterine vascular bed and foetal oxygenation in the large white sow at 80-90 days gestation. 2. When maternal hyperoxaemia was induced with 100% oxygen, there was a highly significant rise in the maternal arterial oxygen tension, but no other significant blood gas or vascular changes were observed. 3. When mild maternal hypercapnia was superimposed on maternal hyperoxaemia (oxygen plus 6% carbon dioxide), the oxygen tension and saturation of both the maternal uterine venous and foetal umbilical venous bloods were found when severe hypercapnia was induced (oxygen plus 50% carbon dioxide) but in this case all blood samples showed dramatic changes in PCO2 and pH. These changes were accompanied by an increase in the systemic blood pressure and uterine blood flow, and a decrease in uterine vascular resistance. 4. When mild hypercapnia was induced without hyperoxaemia (air plus 5% carbon dioxide) significant increases were recorded in the oxygen tension and saturation of uterine venous and foetal umbilical venous bloods. Systemic and uterine vascular resistance fell. 5. It was concluded that the increased foetal oxygen tension during maternal hypercapnia was the result of the increased uterine blood flow and greater mass delivery of oxygen to the placenta, so that once the oxygen requirements of the placental tissues themselves were exceeded there would be an increased oxygen gradient at the site of gas exchange. 6. Carbon dioxide concentration in arterial blood plays an important role in determining blood flow through the pregnant uterus in the sow.
机译:1.这项研究的目的是确定母体高氧血症和高碳酸血症对妊娠80-90天的大白母猪子宫血管床和胎儿氧合的影响。 2.当用100%的氧气诱导孕产妇高氧血症时,孕产妇动脉血氧张力显着升高,但未观察到其他显着的血气或血管变化。 3.当轻度产妇高碳酸血症叠加在产妇高氧血症(氧气加6%的二氧化碳)上时,当诱发严重高碳酸血症(氧气加50%的二氧化碳)时,会发现孕妇子宫静脉和胎儿脐静脉血的氧张力和饱和度),但在这种情况下,所有血液样本的PCO2和pH值都发生了显着变化。这些变化伴随着全身血压和子宫血流量的增加,以及子宫血管阻力的降低。 4.当诱发轻度高碳酸血症而无高氧血症(空气加5%的二氧化碳)时,记录的子宫静脉和胎儿脐带静脉血的氧张力和饱和度显着增加。全身和子宫血管阻力下降。 5.结论是,孕妇高碳酸血症期间胎儿氧气紧张的增加是由于子宫血流量增加和氧气向胎盘的大量输送的结果,因此一旦超过胎盘组织本身的氧气需求,便会气体交换处的氧气梯度增加。 6.动脉血中的二氧化碳浓度在决定流经母猪怀孕子宫的血流中起着重要作用。

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