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微栓塞后不同药物对大鼠脑水肿发展的影响。γ-丁内酯的保护作用。

Influence of various agents on the development of brain edema in the rat following microembolism. Protective effect of gamma-butyrolactone.

作者信息

Bralet J, Beley P, Bralet A M, Beley A

出版信息

Stroke. 1979 Nov-Dec;10(6):653-6. doi: 10.1161/01.str.10.6.653.

Abstract

Brain edema was induced in rats by injecting 50 mu microspheres, labelled with 85Sr, into the internal carotid artery. The use of radioactive microspheres as embolic agents enabled the number of microspheres to be determined in each cerebral hemisphere. Edema was assessed 12 or 24 h after embolization by measuring brain water content and, in some experiments, sodium and potassium. Pretreatments with dexamethasone, parachlorophenylalanine (an inhibitor of 5-hydroxytryptamine synthesis), mepyramine and metiamide (H1 and H2 histamine receptor antagonists) or aminophylline did not influence significantly the development of brain edema evaluated 24 h after embolization. Aminophylline treatment (100 mg/kg) markedly increased mortality following embolization. Gamma-butyrolactone (300 mg/kg, every 2 h) inhibited significantly the development of brain edema evaluated 12 hours after embolization. Increases in water and sodium in the embolized cerebral hemisphere were reduced by about 50%. This protective effect may be related to the known depressant action on brain metabolism.

摘要

通过向大鼠颈内动脉注射50微升用85Sr标记的微球来诱导脑水肿。使用放射性微球作为栓塞剂能够确定每个脑半球中的微球数量。栓塞后12或24小时,通过测量脑含水量,以及在一些实验中测量钠和钾含量来评估水肿情况。用地塞米松、对氯苯丙氨酸(一种5-羟色胺合成抑制剂)、美吡拉敏和甲硫咪特(H1和H2组胺受体拮抗剂)或氨茶碱进行预处理,对栓塞后24小时评估的脑水肿发展没有显著影响。氨茶碱治疗(100毫克/千克)显著增加了栓塞后的死亡率。γ-丁内酯(300毫克/千克,每2小时一次)显著抑制了栓塞后12小时评估的脑水肿发展。栓塞脑半球中水和钠的增加减少了约50%。这种保护作用可能与已知的对脑代谢的抑制作用有关。

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