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阿托品对梭曼诱导的呼吸抑制期间脑血管系统的影响。

Effect of atropine upon the cerebrovascular system during soman-induced respiratory depression.

作者信息

Lipp J A, Dola T J

出版信息

Arch Int Pharmacodyn Ther. 1978 Oct;235(2):211-8.

PMID:104676
Abstract

The effect of soman-induced respiratory depression upon cerebral vascular physiology was studied in monkeys. There was a significant decrease in heart rate, mean arterial blood pressure, cerebral blood flow and cerebral perfusion pressure during the onset of respiratory depression, which terminated as apnea. Administration of atropine resulted in an immediate increase in all of the above mentioned parameters which coincided with improvement in respiration. It was concluded that soman impaired cerebral autoregulation, caused a decrease in cerebral blood flow and cerebral perfusion pressure. It was suggested that respiratory depression resulted, in part, from anoxia. Administration of atropine increased the cerebral blood flow and cerebral perfusion pressure, which in turn, possibly reversed the anoxic conditions resulting in the improvement of respiration.

摘要

在猴子身上研究了梭曼引起的呼吸抑制对脑血管生理的影响。在呼吸抑制开始时,心率、平均动脉血压、脑血流量和脑灌注压显著下降,呼吸抑制在呼吸暂停时终止。给予阿托品后,上述所有参数立即增加,同时呼吸改善。得出的结论是,梭曼损害了脑自动调节功能,导致脑血流量和脑灌注压降低。有人提出,呼吸抑制部分是由缺氧引起的。给予阿托品可增加脑血流量和脑灌注压,进而可能逆转缺氧状况,从而改善呼吸。

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