Leuschen M P, Nelson R M
Department of Pediatrics, University of Nebraska Medical Center, Omaha 68105.
Anat Rec. 1989 Aug;224(4):534-40. doi: 10.1002/ar.1092240411.
Telencephalic microvessels were morphologically and morphometrically evaluated in beagle pups at 24, 48, and 72 hours of age following an experimental insult consisting of exposure to acute hypovolemic hypotension followed by rapid corrective blood reinfusion. Animals were anesthetized throughout the procedure and maintained for 75 minutes prior to sacrifice. Microvessels from the germinal matrix, where intraventricular hemorrhage (IVH) most commonly occurs, were compared to those of the adjacent cerebral cortex and choroid plexus. Perfusion, fixation and processing of the tissue followed our previously published protocol (Leuschen et al.: Anatomical Record 208:435-443, 1984). Both germinal matrix and cortical microvessels had collapsed lumens and normal endothelial cell morphology; mitochondria contained distinct cristae, junctional complexes were present and a basement lamina completely surrounded most vessels. Morphometric data on matrical and cortical microvessels supported vasoconstriction. Microvessels from choroid plexus were not vasoconstricted; tight junctions were infrequently seen and microvesicular elements were present. An increased cerebral blood flow to the germinal matrix and the adjacent cerebral cortex has been reported during and immediately following hypovolemic hypotensive insult. By 75 minutes following insult, our ultrastructural studies support a rebound phenomena including vasoconstriction of microvessels. The resulting vasoconstriction and associated cerebral ischemia may play an important role in subsequent tissue damage to the matrical area and ultimately to the etiology of IVH.
在实验性损伤后,对24、48和72小时龄的比格幼犬的端脑微血管进行了形态学和形态计量学评估。该实验性损伤包括急性低血容量性低血压,随后快速进行纠正性输血。在整个过程中动物均处于麻醉状态,并在处死前维持75分钟。将最常发生脑室内出血(IVH)的生发基质中的微血管与相邻的大脑皮质和脉络丛中的微血管进行比较。组织的灌注、固定和处理遵循我们先前发表的方案(Leuschen等人:《解剖学记录》208:435 - 443,1984)。生发基质和皮质微血管的管腔均塌陷,内皮细胞形态正常;线粒体含有明显的嵴,存在连接复合体,并且基膜完全包围了大多数血管。关于生发基质和皮质微血管的形态计量学数据支持血管收缩。脉络丛的微血管没有血管收缩;紧密连接很少见,并且存在微泡成分。据报道,在低血容量性低血压损伤期间及损伤后立即,生发基质和相邻大脑皮质的脑血流量增加。损伤后75分钟,我们的超微结构研究支持一种包括微血管血管收缩的反弹现象。由此产生的血管收缩和相关的脑缺血可能在随后对生发基质区域的组织损伤以及最终IVH的病因学中起重要作用。