Kawano Y, Barnes K L, Ferrario C M
Division of Hypertension and Nephrology, National Cardiovascular Center, Suita, Osaka, Japan.
J Auton Nerv Syst. 1991 Aug;35(2):153-60. doi: 10.1016/0165-1838(91)90058-b.
To determine the site(s) responsible for the central cardiovascular effect of hypertonic saline, 0.2 ml of 1.5 M NaCl was administered to anesthetized dogs via three routes, a lateral ventricle, the third ventricle and the cisterna magna. Intracisternal administration of hypertonic NaCl produced much prompter pressor and tachycardic responses than did administration via the other two routes. Covering the ventral third ventricle region with a petroleum jelly plug had the effect of abolishing the pressor response to lateral ventricular hypertonic NaCl but did not modify the response to intracisternal hypertonic NaCl. By contrast, electrolytic lesion of the area postrema attenuated the rise in blood pressure produced by the intracisternal NaCl without affecting the response to lateral ventricular NaCl. These results indicate that at least two sites, the ventral third ventricle region in the hypothalamus and the area postrema in the lower brainstem, are responsible for the acute hypertension induced by an increase in NaCl concentration in the cerebrospinal fluid of the dog.
为确定对高渗盐水的中枢心血管效应负责的部位,将0.2毫升1.5 M氯化钠经三种途径给予麻醉犬,即侧脑室、第三脑室和小脑延髓池。与经其他两种途径给药相比,经小脑延髓池给予高渗氯化钠产生的升压和心动过速反应要快得多。用凡士林栓覆盖腹侧第三脑室区域可消除对侧脑室高渗氯化钠的升压反应,但不改变对小脑延髓池高渗氯化钠的反应。相比之下,延髓后区的电解损伤减弱了小脑延髓池氯化钠引起的血压升高,而不影响对侧脑室氯化钠的反应。这些结果表明,至少有两个部位,即下丘脑的腹侧第三脑室区域和脑干下部的延髓后区,对犬脑脊液中氯化钠浓度升高引起的急性高血压负责。