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对大鼠颈部进行分次热疗后脊髓的热耐受性

Thermotolerance of the spinal cord after fractionated hyperthermia applied to the rat in the cervical region.

作者信息

Sminia P, Haveman J, Troost D

机构信息

Department of Radiotherapy, University of Amsterdam, Academisch Medisch Centrum, The Netherlands.

出版信息

Int J Hyperthermia. 1990 Mar-Apr;6(2):269-78. doi: 10.3109/02656739009141137.

Abstract

The effects of heat treatment at 42.9 +/- 0.4 degrees C for 30-90 min of rat cervical spinal cord (cervical 5-thoracic 2) were investigated in animals which had received a priming treatment at 42.3 +/- 0.4 degrees for 60 min in the same region 24 hours before. Hyperthermia to the cervical region in the rat was applied by a coaxial double ring radiator, operating at a frequency of 434 MHz. The test heat treatment led to neurological complications, ranging from unco-ordinated use of the forelegs to paralysis of both forelegs. Death was observed, presumably as a result of respiratory paralysis. The animals that received the priming heat treatment were more resistant to heat injury than those without priming. The LD50, 60 days, for animals without and with priming treatment was respectively at 41 +/- 2 min 42.9 degrees C and at 88 +/- 7 min 42.9 degrees C. The TTR calculated from the LD50, 60 days, data is 2.1 +/- 0.2. Almost all animals, without priming, that did not die as a result of the treatment, recovered in the period from day 1 to day 60 after hyperthermia. Animals that had received a priming exposure were less able to recover from neurological symptoms induced by the test heat treatment. For this reason the induced resistance to thermal injury after priming exposure was more pronounced in the data on lethality than on neurological symptoms. Spinal cord histology from animals that did not recover from neurological symptoms showed extensive non-vascular damage to both gray and white matter.

摘要

对在24小时前于同一区域接受过42.3±0.4℃、60分钟预刺激处理的大鼠,研究其颈段脊髓(颈5 - 胸2)在42.9±0.4℃下进行30 - 90分钟热处理的效果。大鼠颈部区域的热疗通过频率为434MHz的同轴双环辐射器进行。试验性热处理导致了神经并发症,从前肢使用不协调到双侧前肢麻痹。观察到有死亡情况,推测是呼吸麻痹所致。接受预刺激热处理的动物比未接受预刺激的动物对热损伤更具抵抗力。未接受预刺激和接受预刺激处理的动物在60天的半数致死剂量(LD50)分别为42.9℃下41±2分钟和42.9℃下88±7分钟。根据60天LD50数据计算出的热耐受时间比(TTR)为2.1±0.2。几乎所有未接受预刺激且未因处理而死亡的动物,在热疗后的第1天至第60天期间恢复。接受预刺激暴露的动物从试验性热处理诱发的神经症状中恢复的能力较差。因此,在致死率数据中,预刺激暴露后诱导的对热损伤的抵抗力比在神经症状方面更明显。未从神经症状中恢复的动物的脊髓组织学检查显示灰质和白质均有广泛的非血管性损伤。

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