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[一氧化氮供体与视网膜静脉阻塞]

[Nitric oxide donors and retinal vein occlusion].

作者信息

Donati G, Kapetanios A D, Pournaras C J

机构信息

Clinique d'Ophtalmologie, Dpt. des Neurosciences cliniques, Genève.

出版信息

Klin Monbl Augenheilkd. 1999 May;214(5):280-1. doi: 10.1055/s-2008-1034793.

Abstract

PURPOSE

The development of extended territories of nonperfused capillaries after branch vein occlusion (b.v.o.) is correlated to the secondary constriction of the arteriole crossing the occluded territory. Local NO release is impaired soon after b.v.o. and accounts for the secondary arteriolar constriction. In this report we present evidences showing that administration of an NO donor can reverse the secondary arteriolar vasoconstriction observed after b.v.o.

MATERIAL AND METHODS

Simultaneous preretinal NO profiles and arteriolar diameter measurements were performed in miniature pigs after experimental b.v.o. The effect of preretinal microinjections of the NO-donor Sodium Nitroprusside on the arteriolar diameter was studied.

RESULTS

A significant arteriolar vasoconstriction occurring in parallel with a preretinal [NO] decrease was observed 4 hours after b.v.o. Microinjection of the NO-donor SNP caused a segmental, reversible arteriolar dilatation.

CONCLUSION

The present results, suggest that local NO supply in the first hours following b.v.o. may contribute to protect the retina against ischemic injury.

摘要

目的

分支静脉阻塞(b.v.o.)后无灌注毛细血管扩展区域的形成与穿过阻塞区域的小动脉的继发性收缩相关。b.v.o.后不久局部一氧化氮(NO)释放受损,这是继发性小动脉收缩的原因。在本报告中,我们提供证据表明给予NO供体可逆转b.v.o.后观察到的继发性小动脉血管收缩。

材料与方法

在实验性b.v.o.后的小型猪中同时进行视网膜前NO分布和小动脉直径测量。研究了视网膜前微量注射NO供体硝普钠对小动脉直径的影响。

结果

b.v.o.后4小时观察到小动脉显著血管收缩,同时视网膜前[NO]降低。微量注射NO供体SNP引起节段性、可逆性小动脉扩张。

结论

目前的结果表明,b.v.o.后最初几小时的局部NO供应可能有助于保护视网膜免受缺血性损伤。

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