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犬脑在不同脑血流量水平下急性机械性诱导动脉高血压时的压力-流量关系。

The pressure-flow relations of the canine brain in acute mechanically induced arterial hypertension at different levels of cerebral blood flow.

作者信息

Ekström-Jodal B, Häggendal E, Linder L E, Nilsson N J

出版信息

Acta Anaesthesiol Scand. 1977;21(3):232-9. doi: 10.1111/j.1399-6576.1977.tb01214.x.

Abstract

Cerebral pressure-flow relations were studied in anaesthetized dogs during acute arterial hypertension, induced by compression of the thoracic aorta. In one group of animals steady state measurements were made with the radioactive gas elimination method. In another group the immediate changes of blood flow at a blood pressure change, as indicated by variations in the cerebral venous oxygen saturation, were studied with continuous oximetric analyses of the superior sagittal sinus blood. The initial blood flow was varied by variations of the arterial carbon dioxide tension of injections of papaverine. At low or normal blood flows autoregulation was efficient up to pressures around 180-200 mmHg, while at higher flows the upper autoregulatory pressure limit was found at lower blood pressures. Above the autoregulatory limit-irrespective of the control flow level-there was a rise in blood flow and a decrease in cerebrovascular resistance.

摘要

在麻醉犬中,通过压迫胸主动脉诱导急性动脉高血压,研究脑压力 - 血流关系。在一组动物中,采用放射性气体清除法进行稳态测量。在另一组动物中,通过对上矢状窦血液进行连续血氧分析,根据脑静脉血氧饱和度的变化研究血压变化时血流的即时变化。通过改变动脉二氧化碳张力或注射罂粟碱来改变初始血流。在低血流或正常血流时,自动调节在血压高达约180 - 200 mmHg时有效,而在较高血流时,自动调节的血压上限在较低血压时出现。在自动调节上限以上,无论对照血流水平如何,血流都会增加,脑血管阻力会降低。

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