Ogura K, Takayasu M, Dacey R G
Department of Neurological Surgery, Washington University, School of Medicine, St. Louis, Missouri.
Neurosurgery. 1991 Apr;28(4):537-41. doi: 10.1097/00006123-199104000-00009.
The vasoactive properties of pentobarbital (PB) were studied in intracerebral arterioles and venules (diameter, 30-90 microns). These vessels mediate changes in cerebrovascular resistance and capacitance, respectively. Mean control vessel diameters of arterioles and venules at pH 7.3 were 53.9 +/- 2.8 microns and 78.4 +/- 4.3 microns, respectively. Both arterioles and venules dilated when the pH of the extraluminal solution was lowered to 6.8 and constricted when the pH was raised to 7.6. PB, 10(-6) to 10(-2) mol/L, dilated intracerebral arterioles in a dose-dependent manner at pH 7.3, reaching a maximal dilation of 129.7 +/- 3.1% of control diameter at a dose of 10(-3) mol/L. In contrast, PB at 10(-6) to 10(-2) mol/L failed to produce significant changes in the diameter of intracerebral venules. In addition, PB at 10(-3) mol/L significantly inhibited arteriolar constriction induced by KCl (120 mmol/L), but not venular constriction. The present study suggests that intracerebral venules are relatively less responsive to PB than cerebral arterioles and peripheral veins. In addition to its effect on cerebral metabolism. PB may act to redistribute venous blood volume from cerebral veins to more responsive peripheral veins, thereby decreasing intracranial blood volume and intracranial pressure.
在脑内小动脉和小静脉(直径30 - 90微米)中研究了戊巴比妥(PB)的血管活性特性。这些血管分别介导脑血管阻力和容量的变化。在pH 7.3时,小动脉和小静脉的平均对照血管直径分别为53.9±2.8微米和78.4±4.3微米。当管腔外溶液的pH降至6.8时,小动脉和小静脉均扩张;当pH升至7.6时,则收缩。在pH 7.3时,10^(-6)至10^(-2)摩尔/升的PB以剂量依赖性方式扩张脑内小动脉,在10^(-3)摩尔/升的剂量下达到最大扩张,为对照直径的129.7±3.1%。相比之下,10^(-6)至10^(-2)摩尔/升的PB未能使脑内小静脉直径产生显著变化。此外,10^(-3)摩尔/升的PB显著抑制由氯化钾(120毫摩尔/升)诱导的小动脉收缩,但不抑制小静脉收缩。本研究表明,脑内小静脉对PB的反应性相对低于脑内小动脉和外周静脉。除了对脑代谢的影响外,PB可能起到将静脉血容量从脑静脉重新分配到反应性更高的外周静脉的作用,从而减少颅内血容量和颅内压。