Suppr超能文献

氟烷、异氟烷、七氟烷和戊巴比妥对离体犬脑动脉低碳酸血症和碳酸氢盐诱导的收缩的抑制作用。

Inhibitory effects of halothane, isoflurane, sevoflurane, and pentobarbital on the constriction induced by hypocapnia and bicarbonate in isolated canine cerebral arteries.

作者信息

Ogawa K, Yamada S, Mizumoto K, Iranami H, Hatano Y

机构信息

Department of Anesthesiology, Wakayama Medical College, Japan.

出版信息

J Neurosurg Anesthesiol. 2000 Apr;12(2):99-106. doi: 10.1097/00008506-200004000-00005.

Abstract

The effects of halothane, isoflurane, sevoflurane (0.5, 1 and 2 MAC) and pentobarbital (10(-5) M, 10(-4) M and 3 x 10(-4) M) on hypocapnia- and bicarbonate-induced constriction of isolated dog middle cerebral arteries were investigated in vitro. The isometric tension of isolated cerebral arterial rings was measured in an organ bath containing Krebs bicarbonate solution, aerated with 5% CO2 and 95% O2. Hypocapnia, induced by replacing the bathing solution with one that had been equilibrated with 2.5% CO2 and 97.5% O2, produced a sustained vasoconstriction (268 +/- 36 mg, mean +/- SEM). Exposure of arterial rings to a bathing solution that contained double the concentration of NaHCO3 (50 mM) elicited a phasic constriction followed by a gradual decrease in tension (309 +/- 34 mg). Although halothane, isoflurane, and sevoflurane attenuated both hypocapnia- and bicarbonate-induced constrictions in a dose-dependent manner, the inhibition of these constrictions was greater in rings treated with halothane than in those treated with isoflurane or sevoflurane when compared at equipotent concentrations. These alkaline-induced constrictions were attenuated by pentobarbital only at the highest concentration of 3 x 10(-4) M. Halothane (1 and 2 MAC) attenuated the constriction induced by hypocapnia to a greater extent than that induced by 15 mM KCl, whereas pentobarbital (10(-4) M and 3 x 10(-4) M) attenuated hypocapnia-induced constriction less than KCl-induced constriction. These results indicate that alkaline-induced constriction is more vulnerable to halothane than other volatile anesthetics and pentobarbital. The mechanisms of the inhibitory effects of halothane and pentobarbital on alkaline-induced cerebral vasoconstriction seem to differ; the inhibitory effect of pentobarbital, but not of halothane may be, in part, ascribed to its inhibitory effect on the Ca++ influx.

摘要

在体外研究了氟烷、异氟烷、七氟烷(0.5、1和2最低肺泡有效浓度)和戊巴比妥(10⁻⁵M、10⁻⁴M和3×10⁻⁴M)对低碳酸血症和碳酸氢盐诱导的离体犬大脑中动脉收缩的影响。在含有 Krebs 碳酸氢盐溶液、用5%二氧化碳和95%氧气曝气的器官浴中测量离体脑动脉环的等长张力。用与2.5%二氧化碳和97.5%氧气平衡的溶液替换浴液诱导低碳酸血症,产生持续的血管收缩(268±36mg,平均值±标准误)。将动脉环暴露于含有两倍浓度 NaHCO₃(50mM)的浴液中会引起阶段性收缩,随后张力逐渐降低(309±34mg)。虽然氟烷、异氟烷和七氟烷以剂量依赖性方式减弱了低碳酸血症和碳酸氢盐诱导的收缩,但在等效浓度下比较时,氟烷处理的环对这些收缩的抑制作用比异氟烷或七氟烷处理的环更大。这些碱性诱导的收缩仅在最高浓度3×10⁻⁴M的戊巴比妥作用下减弱。氟烷(1和2最低肺泡有效浓度)比15mM氯化钾诱导的收缩更能减弱低碳酸血症诱导的收缩,而戊巴比妥(10⁻⁴M和3×10⁻⁴M)减弱低碳酸血症诱导的收缩比氯化钾诱导的收缩程度小。这些结果表明,碱性诱导的收缩比其他挥发性麻醉剂和戊巴比妥更容易受到氟烷的影响。氟烷和戊巴比妥对碱性诱导的脑血管收缩的抑制作用机制似乎不同;戊巴比妥的抑制作用(但氟烷的抑制作用并非如此)部分可能归因于其对Ca²⁺内流的抑制作用。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验