[Comparison of arterial and venous blood gas and acid-base values in prematurely born healthy calves or calves with a late asphyxia].

M Pickel, W Zaremba, E Grunert
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Abstract

The arterial and venous blood gas and acid-base values of 44 calves delivered by caesarean section before term were examined during the first seven days of life. The newborns were divided into two groups based on clinical observations during the first hour of life, the blood pH and the base deficit: Group 1: 30 calves without respiratory distress syndrome (vital, non-asphyxial); they did not develop any diseases in the course of the experiment. Group 2: 14 calves with respiratory distress syndrome (asphyxial); 9 of these animals died in the course of the experiment. The blood gas and acid-base parameters (blood pH, base deficit, pCO2, pO2) measured in venous blood of the calves without respiratory distress syndrome (group 1) were similar to those cited in the literature for calves delivered at term. Among the calves that had survived respiratory distress syndrome, significantly decreased blood pH and increased base deficit values were found in both venous and arterial blood even on the third day after birth. Differences in pCO2 and pO2 were, however, no longer statistically significant between the two groups after 24 hours of life. For blood pH, base deficit, and pCO2 significant correlations were consistently found between the values in venous blood and the corresponding values in arterial blood in vital (non-asphyxial) calves. Due to the considerably smaller number of animals significant correlations between these parameters were less frequent in asphyxial calves, although some of the correlation coefficients were higher than in the vital calves. Experimentally induced influences and animal variation made the corresponding pO2-values of venous and arterial blood in both test groups less unequivocal. The analysis of arterial blood gas and acid-base parameters was not more conclusive than the analysis of venous blood regarding diagnosis and prognosis of respiratory distress syndrome. The blood pH and base deficit seemed to be the most suitable parameters to evaluate the severeness of the disease.

[早产儿健康犊牛与晚期窒息犊牛动脉、静脉血气及酸碱值的比较]。
对44头足月前剖宫产犊牛在出生后7天内进行了动脉、静脉血气和酸碱值测定。根据新生儿出生后1小时的临床观察、血液pH值和碱基缺陷分为两组:1组:30头犊牛无呼吸窘迫综合征(生命体征,非窒息);在实验过程中,他们没有患上任何疾病。2组:呼吸窘迫综合征(窒息)犊牛14头;这些动物中有9只在实验过程中死亡。无呼吸窘迫综合征犊牛(1组)静脉血血气和酸碱参数(血液pH值、碱亏、二氧化碳分压、pO2)与文献中足月分娩犊牛的血气和酸碱参数相似。在呼吸窘迫综合征存活下来的小牛中,即使在出生后第三天,静脉和动脉血的pH值也明显下降,碱性赤字值也明显增加。然而,在24小时后,两组之间的pCO2和pO2的差异不再具有统计学意义。对于生命(非窒息)小牛的血液pH值、碱基缺陷和二氧化碳分压,静脉血值和相应的动脉血值之间一致发现显著相关。由于动物数量相对较少,这些参数之间的显著相关性在窒息小牛中较少出现,尽管一些相关系数高于生命小牛。实验诱导的影响和动物变异使得两个试验组的静脉血和动脉血的相应po2值不太明确。动脉血气和酸碱参数分析对呼吸窘迫综合征的诊断和预后的决定性作用不如静脉血分析。血液pH值和碱性缺陷似乎是评估疾病严重程度最合适的参数。
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