Young H A, Kolbeck R C, Schmidek H H
Neurosurgery. 1986 Oct;19(4):502-6. doi: 10.1227/00006123-198610000-00003.
Subarachnoid hemorrhage has a profound effect on cerebrovascular reactivity. The present study noted a progressive change in the sensitivity and reactivity of rabbit basilar artery to serotonin after experimentally induced hemorrhage. The basilar artery exhibited an initial diminished response to serotonin for periods up to 6 hours after hemorrhage, whereafter the vessel gradually became hyperresponsive. The hypersensitivity became maximal 36 hours after hemorrhage and then began to return to normal. Such early onset of serotonin hypersensitivity and reactivity after subarachnoid hemorrhage has not been previously reported. The level of tension developed, however, suggests that serotonin alone is unlikely to cause vasospasm. The strict differentiation of spasm into early and delayed components is questioned.
蛛网膜下腔出血对脑血管反应性有深远影响。本研究指出,在实验性诱导出血后,兔基底动脉对血清素的敏感性和反应性发生了渐进性变化。基底动脉在出血后长达6小时内对血清素的反应最初减弱,此后血管逐渐变得反应过度。超敏反应在出血后36小时达到最大,然后开始恢复正常。蛛网膜下腔出血后血清素超敏反应和反应性如此早的出现此前未见报道。然而,所产生的张力水平表明,仅血清素不太可能导致血管痉挛。有人对将痉挛严格区分为早期和延迟成分提出了质疑。