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脊髓横断后的血流动力学变化取决于麻醉剂。

Haemodynamic changes after spinal cord transection are anaesthetic agent dependent.

作者信息

Leal P R, Lima R C, Lopes A C, da Graça J R V, Santos A A, Rola F H, Gondim F de A A

机构信息

Departamento de Fisiologia e Farmacologia, Universidade Federal do Ceará, Rua Cel Nunes de Melo, 1127 CP 3157 Fortaleza, Ceará 60430 270, Brazil.

出版信息

Auton Autacoid Pharmacol. 2007 Oct;27(4):167-71. doi: 10.1111/j.1474-8673.2007.00408.x.

Abstract

1 To evaluate the effect of high spinal cord transection (SCT), between T4 and T5, on the mean arterial pressure (MAP) and heart rate in animals anaesthetized with different anaesthetic agents: ether (n = 12), 20% urethane, 1.2 g kg(-1) (n = 12), 2% tri-bromide-ethanol, 200 mg kg(-1) (n = 12); chloral hydrate and urethane, 75 and 525 mg kg(-1) respectively (n = 12). 2 In the animals anaesthetized with ether or urethane, SCT caused an immediate major drop in MAP, with hypotension and bradycardia throughout the next 10 min. In the animals anaesthetized with urethane + chloralose or tri-bromide-ethanol, SCT transiently increased MAP with subsequent hypotension and bradycardia. 3 In summary, the haemodynamic changes after complete, high SCT are anaesthetic agent dependent. Further research about the exact mechanisms responsible for these diverse autonomic changes is warranted.

摘要
  1. 为评估在T4和T5之间进行高位脊髓横断(SCT)对使用不同麻醉剂麻醉的动物的平均动脉压(MAP)和心率的影响:乙醚(n = 12)、20%氨基甲酸乙酯,1.2 g kg⁻¹(n = 12)、2%三溴乙醇,200 mg kg⁻¹(n = 12);水合氯醛和氨基甲酸乙酯,分别为75和525 mg kg⁻¹(n = 12)。2. 在使用乙醚或氨基甲酸乙酯麻醉的动物中,脊髓横断导致平均动脉压立即大幅下降,在接下来的10分钟内出现低血压和心动过缓。在使用氨基甲酸乙酯+氯醛糖或三溴乙醇麻醉的动物中,脊髓横断使平均动脉压短暂升高,随后出现低血压和心动过缓。3. 总之,完全性高位脊髓横断后的血流动力学变化取决于麻醉剂。有必要对导致这些不同自主神经变化的确切机制进行进一步研究。

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