胎儿生长中的早期产后过渡循环限制了新生儿的生长
Lisa Bjarkø1, Drude Fugelseth1, Guttorm Haugen2
1Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Neonatal Intensive Care, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.
Early human development
|December 11, 2024
概括
在怀孕晚期的胎儿生长限制 (FGR) 在头三天对新生儿血液循环的影响很小. 在FGR新生儿中,大多数循环适应发生在过渡期的早期.
科学领域:
- 新生儿生理学 新生儿生理学
- 心血管适应心血管适应
- 胎儿生长限制 胎儿生长限制
背景情况:
- 胎儿生长限制 (FGR) 可以影响新生儿的血液循环变化.
- 了解这些变化对于新生儿护理至关重要.
研究的目的:
- 评估FGR新生儿心脏输出和血液流量的回声心脏学测量.
- 为了比较FGR和非FGR新生儿在出生后早期的循环参数.
主要方法:
- 一项涉及FGR和非FGR新生儿的前性观察研究.
- 心声图被用来测量左心室心力输出,上静脉 (SVC) 流量和静脉管 (DV) 流量.
- 测量是在出生后的第一,第二和第三天进行的.
主要成果:
- 晚期FGR新生儿 (妊娠年龄≥32周) 与非FGR新生儿相比,显示出类似的初始循环测量.
- 到第三天,晚期FGR新生儿的左下心室中风体积和心率更高.
- 这两组从第一天到第三天的左心室心力输出和中风体积都出现下降;非FGR中SVC流量下降,但在FGR后期保持稳定.
结论:
- 晚期发病的FGR对新生儿心脏输出和出生后早期主要血流的影响有限.
- 作为对FGR的反应,主要的循环适应似乎在过渡到新生儿生活的早期发生.
相关概念视频
Fetal Circulation
810
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
810
Development of Blood Vessels
522
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
522
Regulation of Angiogenesis and Blood Supply
2.5K
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
2.5K
Autoregulation of Blood Flow
2.2K
Autoregulation mechanisms are characterized by their inherent capacity for self-regulation without necessitating specific nervous stimulation or endocrine control. These mechanisms facilitate the adjustment of blood flow and, therefore, perfusion specific to each tissue region. This self-regulation encompasses chemical signals and myogenic controls.
Chemical Signaling in Autoregulation
Chemical signaling operates at the precapillary sphincter level, inciting either contraction or relaxation....
Chemical Signaling in Autoregulation
Chemical signaling operates at the precapillary sphincter level, inciting either contraction or relaxation....
2.2K


