Yamada N
Department of Neurosurgery, Niigata University, Japan.
No To Shinkei. 1989 Feb;41(2):205-12.
In practice of systemic or local hyperthermia, it becomes very important to determine the tolerance of the brain to heat, along with the evaluation of the influence of heat on brain function. In this little known area, the study was made by examining the changes of blood pressure, cerebral blood flow (CBF), partial pressure of oxygen and pH in the cerebral cortex, electroencephalogram (EEG) and somatosensory evoked potential (SEP), under hyperthermia by experiment. Unanesthetized and immobilized adult rabbits were used in the experiments under controlled respiration. The head alone or the whole body was heated by bathing in hot air. In the head heating, the brain temperature could be heated up to 45 degrees C without extreme fall of the blood pressure, and meantime the aortic blood maintained under 43.5 degrees C at that condition. In the head heating case, the CBF increased to two times at 43 degrees C, two and a half times at 44 degrees C, three and a half times at 45 degrees C of the cortical temperature. As the cortical temperature raised up, the partial pressure of oxygen and pH of the cerebral cortex increased. The peak frequency of power spectrum of EEG increased as the temperature was raised. High amplitude rhythmic slow wave burst appeared at over 44 degrees C for 30 minutes, which soon changed to a flat pattern. In the whole body bathing, on the contrary, the animals died of abrupt fall of the arterial blood pressure when the temperature of the aortic blood was raised over 43.5 degrees C, and it was impossible to get the brain heated over 43 degrees C.(ABSTRACT TRUNCATED AT 250 WORDS)
在全身或局部热疗实践中,确定大脑对热的耐受性以及评估热对脑功能的影响变得非常重要。在这个鲜为人知的领域,通过实验研究热疗时血压、脑血流量(CBF)、大脑皮质氧分压和pH值、脑电图(EEG)以及体感诱发电位(SEP)的变化。实验采用未麻醉且固定的成年兔子,在控制呼吸的条件下进行。单独加热头部或全身采用热空气浴。在头部加热时,脑温可加热至45摄氏度而血压无急剧下降,同时在该条件下主动脉血温度维持在43.5摄氏度以下。在头部加热的情况下,当皮质温度达到43摄氏度时,脑血流量增加到两倍,44摄氏度时增加到2.5倍,45摄氏度时增加到3.5倍。随着皮质温度升高,大脑皮质的氧分压和pH值升高。脑电图功率谱的峰值频率随温度升高而增加。在44摄氏度以上持续30分钟会出现高振幅节律性慢波爆发,随后很快变为平线模式。相反,在全身热浴时,当主动脉血温度超过43.5摄氏度时,动物会因动脉血压急剧下降而死亡,且无法使脑温超过43摄氏度。(摘要截取自250字)