Cole D J, Drummond J C, Shapiro H M, Hertzog R E, Brauer F S
Department of Anesthesiology, Loma Linda University, California 92354.
Anesthesiology. 1989 Oct;71(4):580-5. doi: 10.1097/00000542-198910000-00017.
The effect of hypervolemic hemodilution or hypervolemic hemodilution with dopamine-induced hypertension on cerebral blood flow (CBF) was investigated during 1.2 MAC isoflurane anesthesia in rats (n = 24) subjected to middle cerebral artery occlusion (MCAO). Prior to MCAO each animal was randomized to one of the following groups: 1) control, mean arterial pressure (89 +/- 10 mmHg [mean +/- SD]), blood volume, and hematocrit (46 +/- 1) were not manipulated; 2) hypervolemic hemodilution (HH), 30 min before MCAO, 5% albumin was administered to reduce the hematocrit to 29-32%; or 3) hypervolemic hemodilution/dopamine hypertension (HH/Dop), hemodilution was accomplished and dopamine (10 micrograms.kg-1.min-1) was infused during the ischemic period to achieve a mean arterial pressure of 111 +/- 10 mmHg (mean +/- SD). Ten minutes after occlusion of the left middle cerebral artery, CBF was determined using 14C-iodoantipyrine. Five coronal brain sections were analyzed to determine the area within each brain section with CBF ranges of 0-15 ml.100 g-1.min-1 and 15-23 ml.100 g-1.min-1. The area of 0-15 ml.100 g-1.min-1 CBF was less in both the HH and HH/Dop groups compared with control (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
在1.2最低肺泡有效浓度异氟烷麻醉下,对24只大脑中动脉闭塞(MCAO)的大鼠进行研究,以观察高血容量血液稀释或高血容量血液稀释联合多巴胺诱导的高血压对脑血流量(CBF)的影响。在MCAO之前,将每只动物随机分为以下几组:1)对照组,平均动脉压(89±10 mmHg[平均值±标准差])、血容量和血细胞比容(46±1)未作处理;2)高血容量血液稀释(HH)组,在MCAO前30分钟给予5%白蛋白,使血细胞比容降至29 - 32%;或3)高血容量血液稀释/多巴胺高血压(HH/Dop)组,完成血液稀释后,在缺血期输注多巴胺(10微克·千克-1·分钟-1),使平均动脉压达到111±10 mmHg(平均值±标准差)。左大脑中动脉闭塞10分钟后,使用14C - 碘安替比林测定CBF。分析五张冠状脑切片,以确定每个脑切片中CBF范围为0 - 15 ml·100 g-1·分钟-1和15 - 23 ml·100 g-1·分钟-1的区域。与对照组相比,HH组和HH/Dop组中CBF为0 - 15 ml·100 g-1·分钟-1的区域均较小(P<0.05)。(摘要截断于250字)