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硝普钠与麻醉和未麻醉山羊的脑血流量

Sodium nitroprusside and cerebral blood flow in the anesthetized and unanesthetized goat.

作者信息

Ivankovich A D, Miletich D J, Albrecht R F, Zahed B

出版信息

Anesthesiology. 1976 Jan;44(1):21-6. doi: 10.1097/00000542-197601000-00004.

DOI:10.1097/00000542-197601000-00004
PMID:1244772
Abstract

The effects of dodium nitroprusside (SNP) on total, ipsilateral cerebral blood flow (CBF) in the unanesthetized and anesthetized goat was evaluated under four conditions: 1) bolus injection of SNP into the cerebral circulation via the temporal artery; 2) continuous infusion of SNP into the temporal artery in amounts too small to affect the peripheral circulation (0.57-1.14 mug/kg/min); 3) intravenous infusion of SNP; 4) continuous intravenous infusion of SNP with a bolus injection af angiotensin. Small doses (20, 40, and 80 mug) of SNP injected directly in the cerebral circulation of the awake goat produced immediate increases of 21 +/- 8, 36 +/- 8, and 48+/- 10 per cent, respectively, in CBF lasting 1 to 3 min without causing peripheral cardiovascular changes. The effects of SNP were attenuated by 1.5 per cent halothane anesthesia. Continuous infusion of SNP into the temporal artery in amounts too small to cause peripheral cardiovascular effects produced sustained increases in CBF averaging 31+/- 8 percent; CBF returned to preinfusion values upon cessation of infusion. Intravenous infusion of SNP in both anesthetized and unanesthetized animals in recommended clinical dosages (3-8 mug/kg/min) produced hypotension but did not significantly alter CBF. However, upon injection of angiotensin (1.43 mug/kg), both peripheral blood pressure and CBF increased sharply, suggesting that SNP may impair autoregulation of CBF. The results of this study indicate that SNP dilates the cerebral vascular system in a way that is probably similar to its effects on other vascular beds.

摘要

研究了硝普钠(SNP)在四种情况下对未麻醉和麻醉山羊的全脑及同侧脑血流量(CBF)的影响:1)经颞动脉向脑循环大剂量注射SNP;2)以小剂量(0.57 - 1.14微克/千克/分钟)持续向颞动脉输注SNP,该剂量小到不会影响外周循环;3)静脉输注SNP;4)静脉持续输注SNP并推注血管紧张素。向清醒山羊脑循环直接注射小剂量(20、40和80微克)的SNP,可使CBF立即分别增加21±8%、36±8%和48±10%,持续1至3分钟,且未引起外周心血管变化。1.5%的氟烷麻醉可减弱SNP的作用。以小剂量持续向颞动脉输注SNP,该剂量小到不会引起外周心血管效应,可使CBF持续增加,平均增加31±8%;停止输注后,CBF恢复到输注前水平。在麻醉和未麻醉动物中,按推荐临床剂量(3 - 8微克/千克/分钟)静脉输注SNP可导致低血压,但未显著改变CBF。然而,注射血管紧张素(1.43微克/千克)后,外周血压和CBF均急剧升高,提示SNP可能损害CBF的自动调节功能。本研究结果表明,SNP扩张脑血管系统的方式可能与其对其他血管床的作用类似。

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