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[一氧化氮和一氧化氮合酶在蛛网膜下腔出血后脑损伤发病机制中的作用;蛛网膜下腔出血的实验室模型]

[The role of nitric oxide and NO-synthase in the pathogenesis of cerebral damage after subarachnoid hemorrhage; laboratory models of subarachnoid hemorrhage].

作者信息

Kolár M, Nohejlová K

出版信息

Cesk Fysiol. 2014;63(1):34-41.

Abstract

Subarachnoid hemorrhage (SAH) of CNS is acute life-threating condition. In addition to its well understood sequential increase in intracranial pressure and decreased cerebral perfusion pressure, there is also early and late vasoconstriction. Mechanism of vasoconstriction is complex and one of important roles play changes in the amount of nitric oxide (NO). Present work overviews known pathogenesis of non-traumatic SAH, with stress on NO regulation of cerebral blood flow and its changes during SAH. It also describes mechanisms of early and late brain damage following subarachnoid hemorrhage. We discuss possible pharmacological prevention of the damage and laboratory models of nontraumatic SAH.

摘要

中枢神经系统蛛网膜下腔出血(SAH)是一种危及生命的急症。除了大家熟知的颅内压逐渐升高和脑灌注压降低外,还存在早期和晚期血管收缩。血管收缩的机制复杂,一氧化氮(NO)量的变化在其中起着重要作用。目前的研究概述了非创伤性SAH的已知发病机制,重点强调了SAH期间NO对脑血流的调节及其变化。它还描述了蛛网膜下腔出血后早期和晚期脑损伤的机制。我们讨论了预防损伤的可能药理学方法以及非创伤性SAH的实验室模型。

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