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浙江大学学报(医学版)  1997, Vol. 26 Issue (1): 33-35    DOI: 10.3785/j.issn.1008-9292.1997.01.011
论著     
新生儿窒息呼吸衰竭血浆内皮素-1和血栓素A2及前列环素水平的临床研究
梁黎, 洪文澜, 王旭
浙江医科大学附属儿童医院内科
STUDY ON PLASMA LEVELS OF ET-1,TXA2 AND PGI2 IN NEWBORNS WITH POSTASPHYXIA AND RESPIRATORY FAILURE
Liang Li, Hong Wenlan, Wang Xue
Children's Hospital of Zhejiang Medical University
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摘要:

作者用放射免疫方法,测定了24例窒息后新生儿(其中呼吸衰竭9例)和33例正常新生儿的血浆ET-1和TXB2(TXA2的稳定代谢产物)及6-K-PGF(PGI2的稳定代谢产物)水平,并作动态观察。结果提示,分娩应激、尤其是窒息使新生儿血浆ET-1、TXA2和PGI2水平显著升高,随着缺氧情况改善,3种血管活性物质不同程度下降.ET-1与PGI2,TXA2与PGI2之间均处于动态平衡。血浆ET-1升高的幅度与呼吸衰竭的程度成正相关,ET-1在缺氧性肺血管收缩中可能起着重要作用。

关键词: 新生儿窒息/病理生理学呼吸功能不全/病理生理学内皮素-1/血液血栓素A2/血液前列腺素X类/血液    
Abstract:

The plasma levels of ET-1, TXB2(a stable metabolite of TXA2) and 6-K-PGF(a stable metabolite of PGI2) in 24 postasphyxia newborns(9 cases complicated respiratory failure) and 33normal neonates were determined by the RIA method. The results showed that birth stress,especially asphyxia may contribute to the enhancement of fetal circulating ET-1, TXA2 and PGI2 levels. The concentrations of ET-1,TXA2 and PGI2 declined with the improvement of oxygenation.There were a homeostasis between ET-1 and PGI2, TXA, and PGI2. The plasma ET-1 levels were positively correlated with the severity of the respiratory failure. The result indicated that ET-1 could play an important role in hypoxic pulmonary vascular contraction.

Key words: Asphyxia neonatorum/physiopathol    Respiratory insufficiency/physiopathol    Endothelin-1/blood    Thromboxane A2/blood    Prostaglandins X/blood
收稿日期: 1996-01-09 出版日期: 1997-01-25
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引用本文:

梁黎, 洪文澜, 王旭. 新生儿窒息呼吸衰竭血浆内皮素-1和血栓素A2及前列环素水平的临床研究[J]. 浙江大学学报(医学版), 1997, 26(1): 33-35.

Liang Li, Hong Wenlan, Wang Xue. STUDY ON PLASMA LEVELS OF ET-1,TXA2 AND PGI2 IN NEWBORNS WITH POSTASPHYXIA AND RESPIRATORY FAILURE. Journal of ZheJiang University(Medical Science), 1997, 26(1): 33-35.

链接本文:

https://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.1997.01.011        https://www.zjujournals.com/med/CN/Y1997/V26/I1/33

[1] 龚方戚, 孙眉月, 康曼丽, 杜立中. 新生儿重度窒息后肺动脉压力的动态变化[J]. 浙江大学学报(医学版), 1997, 26(2): 82-84.
[2] 徐美春, 汪洁. 新生儿窒息后脏器损害172例分析[J]. 浙江大学学报(医学版), 1996, 25(5): 233-234.