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实验性蛛网膜下腔出血后血管痉挛及尼莫地平治疗

Vasospasm after experimentally induced subarachnoid haemorrhage and treatment with nimodipine.

作者信息

Rickels E, Zumkeller M

机构信息

Department of Neurosurgery, Hannover Medical School.

出版信息

Neurochirurgia (Stuttg). 1992 Jul;35(4):99-102. doi: 10.1055/s-2008-1052257.

Abstract

At day one and on the following day subarachnoid haemorrhage (SAH) was induced in SPF-rats by injection of a mixture of autologous blood and CSF into the cisterna magna. At day eight the animals were treated with Nimodipine. Extracellular calcium and -potassium concentrations as well as local cerebral blood flow and arterial blood pressure were measured simultaneously. The cerebral vasospasm was documented by corrosion casts. The control group underwent the same procedure without previous SAH. Cerebral vasospasm still exists after nimodipine infusion as it can be demonstrated by corrosion casts showing an intensive grooving and a vertical relief. Extracellular potassium and calcium concentration are higher in the SAH-group than in the control-group. The influence of nimodipine to blood pressure and cerebral blood flow is more impressive in rats with SAH showing a significant decrease in blood pressure and local blood flow.

摘要

在第1天及随后一天,通过向SPF大鼠的枕大池注射自体血液和脑脊液的混合物诱导蛛网膜下腔出血(SAH)。在第8天,用尼莫地平治疗动物。同时测量细胞外钙和钾浓度以及局部脑血流量和动脉血压。通过铸型标本记录脑血管痉挛情况。对照组在没有预先SAH的情况下进行相同的操作。尼莫地平输注后脑血管痉挛仍然存在,铸型标本显示有密集的沟纹和垂直浮雕即可证明。SAH组的细胞外钾和钙浓度高于对照组。尼莫地平对血压和脑血流量的影响在SAH大鼠中更为显著,表现为血压和局部血流量显著降低。

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