Kobari M, Gotoh F, Fukuuchi Y, Tanaka K, Suzuki N, Uematsu D
Stroke. 1987 Mar-Apr;18(2):457-63. doi: 10.1161/01.str.18.2.457.
Due to methodologic difficulties, few investigations have been made on the blood flow velocity in the cerebral microcirculation. Using a newly developed video camera method, we simultaneously measured the blood flow velocity and diameter of pial arteries during hemorrhagic hypotension, after blood pressure recovery, and during CO2 inhalation in cats. When the mean arterial blood pressure was lowered from 129.7 +/- 6.6 to 71.5 +/- 4.1 mm Hg, the blood flow velocity inevitably decreased from 36.6 +/- 5.3 to 27.0 +/- 3.9 mm/sec (p less than 0.001). The calculated blood flow rate [pi X (diameter/2)2 X flow velocity] was preserved in cases with concomitant vasodilation. Conversely, the blood flow velocity increased from 25.3 +/- 5.1 to 31.0 +/- 5.4 mm/sec (p less than 0.001) after mean arterial blood pressure recovery from 67.1 +/- 3.7 to 129.8 +/- 5.8 mm Hg. The blood flow rate was again preserved in vessels with a vasoconstrictive response. Each pial artery apparently dilated or constricted in proportion to the decrease or increase in flow velocity during blood pressure changes, maintaining a constant cerebral blood flow. This indicated the importance of the pial arteries in the mechanisms of cerebral blood flow autoregulation. During 5% CO2 inhalation, the blood flow velocity increased markedly from 25.4 +/- 4.6 to 37.2 +/- 10.0 mm/sec (p less than 0.05), while the pial artery diameter (85.0 +/- 13.7 microns) increased by 9.6 +/- 1.5% (p less than 0.01). The increased flow velocity might be attributable to preferential dilatation of small arterioles or intraparenchymal vessels during hypercapnia.(ABSTRACT TRUNCATED AT 250 WORDS)
由于方法学上的困难,对脑微循环血流速度的研究很少。我们使用一种新开发的视频摄像方法,在猫出血性低血压期间、血压恢复后以及吸入二氧化碳期间,同时测量软脑膜动脉的血流速度和直径。当平均动脉血压从129.7±6.6毫米汞柱降至71.5±4.1毫米汞柱时,血流速度不可避免地从36.6±5.3毫米/秒降至27.0±3.9毫米/秒(p<0.001)。在伴有血管舒张的情况下,计算出的血流量[π×(直径/2)²×血流速度]得以保持。相反,平均动脉血压从67.1±3.7毫米汞柱恢复到129.8±5.8毫米汞柱后,血流速度从25.3±5.1毫米/秒增加到31.0±5.4毫米/秒(p<0.001)。在有血管收缩反应的血管中,血流量再次得以保持。在血压变化期间,每条软脑膜动脉明显地随着血流速度的降低或增加而扩张或收缩,维持恒定的脑血流量。这表明软脑膜动脉在脑血流自动调节机制中的重要性。在吸入5%二氧化碳期间,血流速度从25.4±4.6毫米/秒显著增加到37.2±10.0毫米/秒(p<0.05),而软脑膜动脉直径(85.0±13.7微米)增加了9.6±1.5%(p<0.01)。血流速度增加可能归因于高碳酸血症期间小动脉或脑实质内血管的优先扩张。(摘要截短于250字)