首页   按字顺浏览 期刊浏览 卷期浏览 Plasma Estrogen Response to Dehydroepiandrosterone Sulphate Injection in Normal and Com...
Plasma Estrogen Response to Dehydroepiandrosterone Sulphate Injection in Normal and Complicated Late Pregnancy

 

作者: I. FRASER,   ROSE LEASK,   J. DRIFE,   LESLEY BACON,   EILEEN MICHIE,  

 

期刊: Obstetrics & Gynecology  (OVID Available online 1976)
卷期: Volume 47, issue 2  

页码: 152-158

 

ISSN:0029-7844

 

年代: 1976

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Dehydroepiandrosterone sulphate (DH AS) was administered intravenously to 70 women in the third trimester of pregnancy. By measuring the increase in the concentrations of estrogens in maternal plasma, it was hoped to assess the reserve capacity of the placenta. In normal pregnancies, umonjugated estradiol invariably showed a marked increase within 60 minutes of the injection of DHAS, reaching 174 to 478% above basal levels. Changes in unconjugated estrone were more variable, but significant increases usually occurred 2 to 3 hours after the peak concentration of estradiol. The concentrations of onconjugated estriol showed no significant change. Patients with preeclampsia, essential hypertension, retarded intrauterine growth, diabetes, and twin pregnancies did not show any major differences in response compared to the normal pregnancies. Two patients with intrauterine deaths had low basal concentrations of estrogens but responded to the DHAS injection by having significantly increased concentrations of unconjugated estradiol after 60 minutes. The only patient who did not show any increase in unconjugated estradiol levels after DHAS was thought to have a placental sulphatase deficiency. This test does not appear to have any advantage over existing methods of assessing the endocrine function of the placenta except in confirmation of placental sulphatase deficiency.

 

点击下载:  PDF (306KB)



返 回