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[脑动脉对脑灌注压变化的反应]

[Responses of cerebral arteries to the changes in cerebral perfusion pressure].

作者信息

Yamaguchi S, Kobayashi S, Yamashiata K, Murata A, Kitani M

机构信息

Third Division of Internal Medicine, Shimane Medical University, Izumo, Japan.

出版信息

No To Shinkei. 1989 Aug;41(8):807-11.

PMID:2803837
Abstract

The responsiveness of cerebral pial arteries and arterioles to changes in systemic arterial blood pressure (SAP) was investigated. Using 9 cats anesthetized with chloralose and urethane, direct, simultaneous measurements of pial arterial pressure (PAP) and cerebral blood flow (CBF) were made during changes in SAP. SAP was varied between 25 and 140 mmHg by the hemorrhage and blood infusion methods. After a partial craniotomy. PAP was measured with a micropipette connected to a servo-controlled micropressure recording system. Punctured pial arteries were grouped into three types according to their diameters, 1A (291 +/- 33 microns), 2A (16 +/- 26 microns), and 3A (70 +/- 10 microns). CBF on the exposed cortex was measured with hydrogen clearance method. The PAPs measured were a linear function of SAP; PAP (1A) = 0.73/SAP-6.6 (r = 0.96), PAP (2A) = 0.62 X SAP-6.6 (r = 0.90), PAP (3A) = 0.61 X SAP-6.4 (r = 0.93). The result indicates that PAPs are entirely dependent on SAP and that SAP induced changes in PAPs are less in the smaller pial arteries. Regional CBF remained constant (55 +/- 4 ml/100 g/min) between 60 and 140 mmHg of SAP. A significant decrease in CBF was observed below 60 mmHg of SAP. Cerebrovascular resistances were calculated segmentally using the following formulas; large vessel resistances (LVR) = (SAP-PAP(1A]/CBF, middle vessel resistance = (PAP (1A)-PAP (3A]/CBF, and small vessel resistance = PAP (3A)/CBF. The changes in LVR, MVR, and SVR were almost identical between 70 and 140 mmHg of SAP. Below 70 mmHg of SAP, SVR showed the greatest decrease in resistance.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

研究了软脑膜动脉和小动脉对体循环动脉血压(SAP)变化的反应性。使用9只用氯醛糖和乌拉坦麻醉的猫,在SAP变化期间直接同时测量软脑膜动脉压(PAP)和脑血流量(CBF)。通过出血和输血方法使SAP在25至140 mmHg之间变化。在部分开颅术后,用连接到伺服控制微压记录系统的微量移液器测量PAP。根据直径将穿刺的软脑膜动脉分为三种类型,1A(291±33微米),2A(16±26微米)和3A(70±10微米)。用氢清除法测量暴露皮质上的CBF。测得的PAP是SAP的线性函数;PAP(1A)= 0.73×SAP - 6.6(r = 0.96),PAP(2A)= 0.62×SAP - 6.6(r = 0.90),PAP(3A)= 0.61×SAP - 6.4(r = 0.93)。结果表明,PAP完全依赖于SAP,并且在较小的软脑膜动脉中,SAP引起的PAP变化较小。在SAP为60至140 mmHg之间,局部CBF保持恒定(55±4 ml/100 g/min)。在SAP低于60 mmHg时观察到CBF显著下降。使用以下公式分段计算脑血管阻力;大血管阻力(LVR)=(SAP - PAP(1A))/CBF,中血管阻力=(PAP(1A) - PAP(3A))/CBF,小血管阻力= PAP(3A)/CBF。在SAP为70至140 mmHg之间,LVR、MVR和SVR的变化几乎相同。在SAP低于70 mmHg时,SVR的阻力下降最大。(摘要截断于250字)

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