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蛛网膜下腔出血不会在大鼠中引发血管病变或导致慢性血流变化。

Subarachnoid hemorrhage fails to produce vasculopathy or chronic blood flow changes in rats.

作者信息

Swift D M, Solomon R A

机构信息

Department of Neurological Surgery, Columbia Presbyterian Medical Center, New York, NY 10032.

出版信息

Stroke. 1988 Jul;19(7):878-82. doi: 10.1161/01.str.19.7.878.

Abstract

Cerebral blood flow was measured by a [14C]butanol indicator fractionation technique in rats subjected to subarachnoid hemorrhage, in control rats, and in rats given injections of buffered saline into the subarachnoid space (sham hemorrhage). Cerebral blood flow was significantly decreased in both the subarachnoid hemorrhage and sham hemorrhage rats 3 hours after injection. However, blood flow returned to control levels by 24 hours, and measurement for 14 days after subarachnoid hemorrhage failed to show any delayed decrease in cerebral blood flow. Electron microscopic studies of basilar arteries from rats subjected to subarachnoid hemorrhage 72 hours before killing failed to show any of the morphologic changes that have been associated with vasospasm in humans or in higher animal models. Our studies indicate that the rat model of subarachnoid hemorrhage has limited applicability to the study of subarachnoid hemorrhage following ruptured cerebral aneurysms in humans. However, although rats are not a perfect model of this clinical condition, some pathophysiologic changes similar to those observed in human subarachnoid hemorrhage have been demonstrated in this model and deserve further investigation.

摘要

采用[14C]丁醇指示剂分级分离技术,对蛛网膜下腔出血大鼠、对照大鼠以及蛛网膜下腔注射缓冲盐水的大鼠(假出血)进行脑血流量测定。注射后3小时,蛛网膜下腔出血大鼠和假出血大鼠的脑血流量均显著降低。然而,到24小时时血流恢复至对照水平,蛛网膜下腔出血后14天的测量结果未显示脑血流量有任何延迟性降低。处死前72小时蛛网膜下腔出血大鼠的基底动脉电镜研究未显示出任何与人类或高等动物模型中血管痉挛相关的形态学变化。我们的研究表明,蛛网膜下腔出血大鼠模型在研究人类脑动脉瘤破裂后蛛网膜下腔出血方面的适用性有限。然而,尽管大鼠并非这种临床情况的完美模型,但该模型已证明存在一些与人类蛛网膜下腔出血中观察到的类似的病理生理变化,值得进一步研究。

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