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[兔实验性脑震荡的早期病理生理发现]

[Early pathophysiological findings in experimental concussion in rabbits].

作者信息

Sugiura M, Mori N, Sugimori T, Ara T, Kohno H, Kitamura K

出版信息

Neurol Med Chir (Tokyo). 1989 Oct;29(10):877-84. doi: 10.2176/nmc.29.877.

DOI:10.2176/nmc.29.877
PMID:2482935
Abstract

Early neurophysiological changes and pathological findings were studied following experimental cerebral concussion in rabbits. The animals were lightly anesthetized and subjected to occipital trauma with a pendulum impactor. Experimental concussion was defined as fulfillment of at least two of the three following criteria: apnea for more than 10 seconds, absence of the light reflex for more than 10 seconds, and bradycardia or tachycardia (less than 50% or more than 10% of the preimpact rate, respectively). There were 13 cases of lethal concussion, 16 of nonlethal concussion, and 15 of nonconcussion. The resultant head acceleration ranged from 250 to 1660 G and its duration was 0.8 to 5.5 msec. During the first 30 seconds after impact, electroencephalographic activity showed little change even in cases of lethal concussion, but slowed over the next several minutes due to respiratory suppression. The duration of apnea in cases of nonconcussion was under 9 seconds and, in cases of nonlethal concussion, averaged 21 seconds. Five of the rabbits with lethal concussion were apneic throughout the observation period, and the remaining eight exhibited apnea for an average of 46 seconds after impact. The light reflex was absent for less than 9 seconds in nonconcussion cases and for an average of 71 seconds in cases of nonlethal concussion. One animal with lethal concussion exhibited absence of the light reflex throughout, and the remaining 12 animals for an average of 39 seconds. Bradycardia was seen in 15 cases of nonlethal and two cases of lethal concussion. Six rabbits with lethal concussion had tachycardia. Two animals without concussion showed bradycardia and the remainder showed no change.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对兔实验性脑震荡后的早期神经生理变化和病理结果进行了研究。动物经轻度麻醉后,用摆锤撞击器对枕部施加创伤。实验性脑震荡定义为满足以下三项标准中的至少两项:呼吸暂停超过10秒、光反射消失超过10秒、心动过缓或心动过速(分别低于撞击前心率的50%或高于10%)。有13例致死性脑震荡、16例非致死性脑震荡和15例非脑震荡。由此产生的头部加速度范围为250至1660G,持续时间为0.8至5.5毫秒。在撞击后的前30秒内,即使是致死性脑震荡病例,脑电图活动也几乎没有变化,但在接下来的几分钟内由于呼吸抑制而减慢。非脑震荡病例的呼吸暂停持续时间在9秒以下,非致死性脑震荡病例平均为21秒。5只致死性脑震荡的兔子在整个观察期内都处于呼吸暂停状态,其余8只在撞击后平均呼吸暂停46秒。非脑震荡病例的光反射消失时间少于9秒,非致死性脑震荡病例平均为71秒。1只致死性脑震荡的动物光反射始终消失,其余12只动物平均为39秒。15例非致死性脑震荡和2例致死性脑震荡出现心动过缓。6只致死性脑震荡的兔子出现心动过速。2只未发生脑震荡的动物出现心动过缓,其余动物无变化。(摘要截取自250字)

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