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[颅内压升高对脑内跨血管液体流动的影响]

[Effect of an increase in intracranial pressure on transvascular fluid movement in the brain].

作者信息

Krasil'nikov V G, Artem'eva A I

出版信息

Fiziol Zh SSSR Im I M Sechenova. 1987 Jun;73(6):756-64.

PMID:3622840
Abstract

Transvascular fluid exchange was studied in the haemodynamically isolated brain in the hermetically closed cranium. The brain was perfused with the constant blood flow under the condition of the cross-perfusion from anesthetized donor-cats. The rise of the intracranial pressure was accompanied by the liquor resorption and increasing of venous outflow. The velocity of this process was proportional to the pressure increase. Changes of transmural vascular pressure were limited by the upstream vascular pressure elevation caused by the compression of the veins in the points of entry into the sagittal sinuses (the thin-walled cerebral veins and lacunae). Another mechanism preventing the shifts of the transmural vascular pressure, was augmentation of the fluid resorption. The role of these mechanisms in compensation of the transmural vascular pressure shifts during orthostatic loads, is discussed.

摘要

在密封颅骨内血流动力学孤立的大脑中研究了跨血管液体交换。在来自麻醉供体猫的交叉灌注条件下,以恒定血流灌注大脑。颅内压升高伴随着脑脊液吸收和静脉流出增加。该过程的速度与压力升高成正比。跨壁血管压力的变化受到矢状窦入口处静脉受压(薄壁脑静脉和腔隙)导致的上游血管压力升高的限制。防止跨壁血管压力变化的另一种机制是液体吸收增加。讨论了这些机制在体位负荷期间跨壁血管压力变化补偿中的作用。

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