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肾上腺素能活性在缺血性脑水肿中的作用。

Role of adrenergic activity in ischemic brain edema.

作者信息

Kobayashi H, Hayashi M, Handa Y, Noguchi Y, Kawano H, Kabuto M

机构信息

Department of Neurosurgery, Fukui Medical School, Japan.

出版信息

Adv Neurol. 1990;52:127-32.

PMID:2118713
Abstract

Thirty male Wistar rats, weighing 200 to 300 g, were used for this study. During a 3- to 4-min period, 300 micrograms of 6-OHDA was injected stereotactically into the right lateral ventricle. The same amount of saline was injected into the ventricle for the control group. Seven days after this procedure, the right common carotid was occluded with a clip and 4 to 6 ml of blood was removed from the external jugular vein to reduce the blood pressure. The clip was removed in 2 hr, and blood flow was maintained for 1 hr. The SG of cerebral tissue was measured according to the method of Marmarou et al. The disruption of BBB was examined by Evans blue injection, and the brain tissue was also examined by electron microscopy. Rats with 6-OHDA treatment had brain edema although the control group had no edema. We suggest that the depletion of brain NA could cause a disturbance in cerebral microvascular tone and could make cerebral blood vessels more vulnerable to the decreased CBF when followed by restoration of the blood flow.

摘要

本研究使用了30只体重在200至300克之间的雄性Wistar大鼠。在3至4分钟的时间内,通过立体定向技术将300微克的6-羟基多巴胺注射到右侧侧脑室。对照组则向脑室内注射等量的生理盐水。在此操作7天后,用夹子夹闭右侧颈总动脉,并从颈外静脉抽取4至6毫升血液以降低血压。2小时后移除夹子,并维持血流1小时。根据Marmarou等人的方法测量脑组织的比重。通过注射伊文思蓝检测血脑屏障的破坏情况,同时也用电镜检查脑组织。接受6-羟基多巴胺治疗的大鼠出现了脑水肿,而对照组没有水肿。我们认为,脑内去甲肾上腺素的耗竭可能会导致脑微血管张力紊乱,并且在血流恢复后,可能会使脑血管更容易受到脑血流量减少的影响。

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