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双侧颈动脉结扎对正常血压和自发性高血压大鼠的血流动力学影响以及主要交通循环的形态测定

The hemodynamic effect of bilateral carotid artery ligation and the morphometry of the main communicating circuit in normotensive and spontaneously hypertensive rats.

作者信息

Fredriksson K, Nordborg C, Johansson B B

出版信息

Acta Physiol Scand. 1984 Jul;121(3):241-7. doi: 10.1111/j.1748-1716.1984.tb07453.x.

Abstract

After reducing the number of patent conduit arteries to the brain by bilateral ligation of the carotid artery, the percentage decrease in blood pressure from the aorta to the internal carotid artery distal to the ligation was larger in spontaneously hypertensive rats than in normotensive rats. The pressure drop corresponded to the degree of hypertension as well as to morphometrically determined structural arterial alteration in the main communicating circuit, i.e. larger media to internal radius ratio and smaller internal radius in the posterior communicating arteries, the proximal part of the posterior cerebral arteries, the basilar artery and the vertebral arteries. The discrepancy between the sum of the luminal cross sectional areas of the communicating circuit and the luminal areas of the ligated conduit arteries was larger in the hypertensive than in the normotensive rats. It is to be expected that occlusion of conduit arteries to the brain will have a larger impact on the cerebral arterial perfusion pressure head in the presence of such hypertensive structural alterations known to increase flow resistance.

摘要

通过双侧结扎颈动脉减少通向大脑的专利导管动脉数量后,自发性高血压大鼠从主动脉到结扎远端颈内动脉的血压下降百分比大于正常血压大鼠。压降与高血压程度以及主要交通回路中形态学确定的结构性动脉改变相对应,即后交通动脉、大脑后动脉近端、基底动脉和椎动脉的中膜与内径比值更大且内径更小。高血压大鼠中交通回路的管腔横截面积总和与结扎的导管动脉管腔面积之间的差异大于正常血压大鼠。在已知会增加血流阻力的此类高血压结构改变存在的情况下,预计大脑导管动脉的闭塞对脑动脉灌注压头的影响会更大。

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