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[恶性肿瘤患者自主过度通气期间脑生物电活动及血浆促肾上腺皮质激素含量的变化]

[Changes in the brain bioelectrical activity and in the ACTH content of the blood plasma during voluntary hyperventilation in malignant neoplasm patients].

作者信息

Davydova I G, Kassil' V L, Smirnova K D

出版信息

Biull Eksp Biol Med. 1988 Feb;105(2):201-3.

PMID:2832015
Abstract

A 3-5-min spontaneous hyperventilation caused normalization of initially altered electroencephalogram and inactivation of hypothalamic structures in 14 patients with malignant tumors, as well as negative dynamics of bioelectrical brain activity and activation of diencephalic area in 6 healthy subjects. In hyperventilation ACTH plasma concentration increased 13-fold on average (from 14.2 +/- 12.1, to 185 +/- 82 pg/ml) in normal subjects and 2.4-fold (from 45.5 +/- 19.8 to 110 +/- 17 pg/ml) in oncological patients. It is assumed that changes in hypothalamo-hypophyseal reactivity in patients with malignant neoplasias can be associated with generalized intracellular metabolic acidosis, partially, compensated by gas alkalosis in the plasma due to hyperventilation.

摘要

3至5分钟的自主过度换气使14例恶性肿瘤患者最初改变的脑电图恢复正常,下丘脑结构失活,同时使6名健康受试者的脑生物电活动出现负向变化,并激活间脑区域。在正常受试者中,过度换气时血浆促肾上腺皮质激素(ACTH)浓度平均增加13倍(从14.2±12.1皮克/毫升增至185±82皮克/毫升),在肿瘤患者中增加2.4倍(从45.5±19.8皮克/毫升增至110±17皮克/毫升)。据推测,恶性肿瘤患者下丘脑-垂体反应性的变化可能与全身性细胞内代谢性酸中毒有关,部分可通过过度换气导致的血浆气体性碱中毒得到代偿。

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