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高碳酸血症对胎儿和新生绵羊血脑屏障机制的影响。

The effect of hypercapnia on a blood-brain barrier mechanism in foetal and new-born sheep.

作者信息

Evans C A, Reynolds J M, Reynolds M L, Saunders N R

出版信息

J Physiol. 1976 Mar;255(3):701-14. doi: 10.1113/jphysiol.1976.sp011304.

Abstract
  1. The effect of marked hypercapnia (arterial PCO2 100 mmHg), nonrespiratory acidosis (pH 6-95-7-15) or hypoxia (arterial PO2 10-15 mmHg) upon penetration of labelled sucrose from blood into brain and c.s.f. has been investigated in exteriorized foetal sheep and new-born lambs. 2. In hypercapnia there was a consistent increase in c.s.f./plasma sucrose ratio after 90 min I.V. sucrose to four to five times control. Brain/plasma sucrose ratios were more variable. Usually there was an increase (up to three-and-a-half-times control); sometimes there was no change or even a decrease. The effect of hypercapnia on sucrose penetration was reversible. 3. Hypercapnia reduced c.s.f. secretion rate to approximately half the control value. Hypercapnia also caused a decrease in brain extracellular space. 4. Non-respiratory acidosis did not affect sucrose penetration. Hypoxia caused a decrease in brain/plasma sucrose ratio. 5. It is concluded that hypercapnia can cuase an increase in cerebral vascular permeability to sucrose in foetal and new-born sheep. Some possible mechanisms are discussed.
摘要
  1. 研究了显著高碳酸血症(动脉血二氧化碳分压100 mmHg)、非呼吸性酸中毒(pH 6.95 - 7.15)或低氧血症(动脉血氧分压10 - 15 mmHg)对标记蔗糖从血液进入胎羊和新生羔羊脑及脑脊液的渗透作用。2. 在高碳酸血症中,静脉注射蔗糖90分钟后,脑脊液/血浆蔗糖比值持续升高至对照值的四到五倍。脑/血浆蔗糖比值变化更大。通常会升高(高达对照值的三点五倍);有时无变化甚至降低。高碳酸血症对蔗糖渗透的影响是可逆的。3. 高碳酸血症使脑脊液分泌速率降低至对照值的约一半。高碳酸血症还导致脑细胞外间隙减小。4. 非呼吸性酸中毒不影响蔗糖渗透。低氧血症导致脑/血浆蔗糖比值降低。5. 得出结论,高碳酸血症可导致胎羊和新生羊脑血管对蔗糖的通透性增加。讨论了一些可能的机制。

相似文献

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The development of a blood-brain barrier mechanism in foetal sheep.胎羊血脑屏障机制的发育
J Physiol. 1974 Apr;238(2):371-86. doi: 10.1113/jphysiol.1974.sp010530.

本文引用的文献

2
EFFECTS OF ACID-BASE ALTERATIONS ON CEREBROSPINAL FLUID PRODUCTION.酸碱变化对脑脊液生成的影响。
Proc Soc Exp Biol Med. 1963 Oct;114:86-9. doi: 10.3181/00379727-114-28593.
6
The effect of hypercapnia on brain permeability to protein.高碳酸血症对脑蛋白通透性的影响。
Arch Neurol. 1966 Jan;14(1):54-63. doi: 10.1001/archneur.1966.00470070058007.

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