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局部冷却期间的脊髓局部血流量

Regional spinal cord blood flow during local cooling.

作者信息

Sakamoto T, Monafo W W

机构信息

Washington University School of Medicine, Department of Surgery, St. Louis, Missouri.

出版信息

Neurosurgery. 1990 Jun;26(6):958-62. doi: 10.1097/00006123-199006000-00006.

Abstract

We used the tissue distribution of [14C]butanol to quantitate regional blood flow in the spinal cord (RSCBF) of pentobarbital-anesthetized, normothermic rats in which segmental local cooling pentobarbital-anesthetized, normothermic rats in which segmental local cooling of the spinal cord (to 25-28 degrees C) at vertebral levels C4-C6 (n = 6) or T13-L1 (n = 6) was induced. Thirty minutes later, blood flow measurements were made at seven levels of the spinal cord and in the sciatic nerve trunks and biceps femoris muscles. Sham-cooled rats served as controls (n = 12). In control rats, RSCBF varied between 41.5 +/- 2.4 and 65.1 +/- 3.2 ml.min-1.100 g-1. Local cooling of the C4-C6 cord segment reduced RSCBF by 32%, from 65.1 +/- 3.2 to 44.4 +/- 3.5 ml.min-1.100 g-1 (P less than 0.01). Tissue vascular resistance (R) in the cooled C4-C6 segment was elevated versus control. There were no other changes in RSCBF at the other cord levels or in the cauda equina. Similarly, local cooling of the T13-L1 segment resulted in a 40% fall in RSCBF in that segment, from 57.1 +/- 2.4 to 34.1 +/- 4.3 ml.min-1.100 g-1 (P less than 0.001). R in the cooled T13-L1 segment was elevated versus control. RSCBF was reduced by 30% in the adjacent proximal T12 segment (P less than 0.001) and by 21% in the adjacent distal L2-L3 segment (P less than 0.05). R was increased in both of these adjacent segments. RSCBF was not altered elsewhere in the cord.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们使用[14C]丁醇的组织分布来定量戊巴比妥麻醉、体温正常大鼠脊髓的局部血流(RSCBF),其中在C4 - C6(n = 6)或T13 - L1(n = 6)椎体水平对脊髓进行节段性局部冷却(至25 - 28摄氏度)。30分钟后,在脊髓的七个水平以及坐骨神经干和股二头肌中进行血流测量。假冷却大鼠作为对照(n = 12)。在对照大鼠中,RSCBF在41.5±2.4和65.1±3.2 ml·min-1·100 g-1之间变化。C4 - C6脊髓节段的局部冷却使RSCBF降低了32%,从65.1±3.2降至44.4±3.5 ml·min-1·100 g-1(P < 0.01)。冷却的C4 - C6节段的组织血管阻力(R)相对于对照升高。在其他脊髓水平或马尾中RSCBF没有其他变化。同样,T13 - L1节段的局部冷却导致该节段的RSCBF下降40%,从57.1±2.4降至34.1±4.3 ml·min-1·100 g-1(P < 0.001)。冷却的T13 - L1节段的R相对于对照升高。相邻近端T12节段的RSCBF降低了30%(P < 0.001),相邻远端L2 - L3节段降低了21%(P < 0.05)。这两个相邻节段的R均升高。脊髓其他部位的RSCBF未改变。(摘要截短于250字)

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