Suga S, Mitani S, Shimamoto Y, Kawase T, Toya S, Sakamoto K, Kanai H, Fukui M, Takeneka N
Department of Neurosurgery, School of Medicine, Keio University, Tokyo, Japan.
Acta Neurochir Suppl (Wien). 1990;51:22-4. doi: 10.1007/978-3-7091-9115-6_8.
An impedance method was applied to evaluate transcellular fluid shifts in ischaemic brain oedema. The admittances (apparent electrical conductivities) of tissues were measured at varied frequencies based on a simple model of an electrical equivalent circuit for tissues, which consisted of Re (resistivity of extracellular fluid), Ri (resistivity of intracellular fluid) and Cm (capacitance of cell membrane). Calculated were Re, Ri, Rinf (resistivity of total fluid), Re/Ri and alpha (Cole-Cole distribution index) of brain tissue by Cole-Cole an arc of a circle. During ischaemia induced by cat middle cerebral artery occlusion (MCAO), the parameters were examined continuously. After MCAO, cerebral blood flow (CBF) decreased to under 10 ml/100 g/min. Then Re and Re/Ri increased, but Ri decreased. These results indicated that fluid shift from extracellular (EC) to intracellular (IC) space occurred after ischaemic insult. Rinf showed no changes during ischaemia of 30 min, which demonstrated no changes of total fluid volume. Using this impedance technique, fluid accumulation and shift may be examined by changes of Re, Ri, Re/Ri and Rinf in various types of brain oedema in vivo.
采用阻抗法评估缺血性脑水肿时的跨细胞液转移。基于组织的简单等效电路模型,在不同频率下测量组织的导纳(表观电导率),该模型由细胞外液电阻(Re)、细胞内液电阻(Ri)和细胞膜电容(Cm)组成。通过科尔 - 科尔圆弧形计算脑组织的Re、Ri、总液电阻(Rinf)、Re/Ri和α(科尔 - 科尔分布指数)。在猫大脑中动脉闭塞(MCAO)诱导的缺血期间,持续检测这些参数。MCAO后,脑血流量(CBF)降至10 ml/100 g/min以下。然后Re和Re/Ri增加,但Ri降低。这些结果表明,缺血性损伤后发生了从细胞外(EC)到细胞内(IC)空间的液转移。在30分钟的缺血期间,Rinf无变化,这表明总液体体积无变化。使用这种阻抗技术,可通过体内各种类型脑水肿中Re、Ri、Re/Ri和Rinf的变化来检测液体蓄积和转移。