Suppr超能文献

[上矢状窦和皮质静脉闭塞时软脑膜血管行为的研究]

[A study of pial vessel behavior on superior sagittal sinus and cortical venous occlusion].

作者信息

Tsujimoto S, Sakaki T, Morimoto T

机构信息

Department of Neurosurgery, Nara Medical University, Kashihara, Japan.

出版信息

No To Shinkei. 1990 Dec;42(12):1185-90.

PMID:2083134
Abstract

In cerebral circulation, it is suspected that neurogenic or myogenic mechanism protect blood vessel and blood-brain barrier during sudden increase in arterial pressure. To discriminate metabolic mechanism from neurogenic and myogenic mechanism, complete cerebral venous occlusion model of cat was used to obtain high venous pressure. In twenty-one anesthetized cats, 0.3 ml of cyanoacrylate were injected into anterior part of SSS to occlude SSS and cortical vein. Diameter of pial vessels and ICP were measured through the cranial window. An average of ICP was 6.7 +/- 1.8 mmHg before occlusion. 5 minutes after occlusion ICP was elevated to an average of 10.4 +/- 4.8 mmHg. Finally, ICP increased over 20 mmHg in nine animals. All pial vein dilated immediately after injection of cyanoacrylate and the dilatation rate was 2-55%. Pial arteriole between 50 microns and 100 microns in diameter was observed. In early stages, 2-24% contraction of arteriole were observed in fifteen animals and 2-16% dilatation were observed in six animals. In later stages, 1-87% dilatation of arteriole were observed in ten cats. Ten of twelve ( 83%) cases with ICP under 20 mmHg showed contraction of pial arteriole. Eight of nine (89%) cases with ICP over 20 mmHg showed dilatation of pial arteriole. In addition, the elevation of ICP and the dilatation of pial arteriole were observed simultaneously. Correlation between ICP and arterial diameter is obvious. The dominant mechanism of cerebral blood flow control is metabolic, not neurogenic and myogenic. Increase of ICP, dilatation of vein and dilatation of artery with increasing ICP are consistent with the theory.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在脑循环中,人们怀疑在动脉血压突然升高时,神经源性或肌源性机制可保护血管和血脑屏障。为了区分代谢机制与神经源性和肌源性机制,采用猫的完全脑静脉闭塞模型来获得高静脉压。在21只麻醉猫中,将0.3毫升氰基丙烯酸酯注入上矢状窦前部以闭塞上矢状窦和皮质静脉。通过颅窗测量软脑膜血管直径和颅内压。闭塞前平均颅内压为6.7±1.8 mmHg。闭塞后5分钟,颅内压平均升高至10.4±4.8 mmHg。最后,9只动物的颅内压升高超过20 mmHg。注射氰基丙烯酸酯后,所有软脑膜静脉立即扩张,扩张率为2% - 55%。观察到直径在50微米至100微米之间的软脑膜小动脉。在早期,15只动物的小动脉出现2% - 24%的收缩,6只动物出现2% - 16%的扩张。在后期,10只猫的小动脉出现1% - 87%的扩张。颅内压低于20 mmHg的12例病例中有10例(83%)显示软脑膜小动脉收缩。颅内压超过20 mmHg的9例病例中有8例(89%)显示软脑膜小动脉扩张。此外,颅内压升高和软脑膜小动脉扩张同时出现。颅内压与动脉直径之间的相关性明显。脑血流控制的主导机制是代谢性的,而非神经源性和肌源性的。颅内压升高、静脉扩张以及随着颅内压升高动脉扩张与该理论一致。(摘要截短于250字)

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验