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正常氧合和窒息新生犬癫痫发作相关的生理和代谢改变。

Physiologic and metabolic alterations associated with seizures in normoxic and asphyxiated neonatal dogs.

作者信息

Young R S, Yagel S K, Gonya-Magee T

出版信息

Epilepsia. 1984 Oct;25(5):569-73. doi: 10.1111/j.1528-1157.1984.tb03463.x.

DOI:10.1111/j.1528-1157.1984.tb03463.x
PMID:6479109
Abstract

The effect of asphyxia on seizures was determined in neonatal dogs. In normoxic (paralyzed and ventilated) neonatal dogs, bicuculline-induced seizures produced significant elevations of arterial blood pressure, PO2, glucose, lactate, and epinephrine. Cerebral blood flow increased severalfold; brain glucose, adenosine triphosphate (ATP), and phosphocreatine (PCr) did not decrease significantly. In contrast, seizures during asphyxia were associated with hypoxia, hypotension, hypercarbia, and acidosis. Significant cerebral ischemia developed. Brain glucose, ATP, and PCr were significantly depleted. Complete oxygen deprivation during neonatal seizures exhausts brain energy stores, which leads to cessation of seizure activity.

摘要

在新生犬中测定了窒息对癫痫发作的影响。在常氧(麻痹并通气)的新生犬中,荷包牡丹碱诱发的癫痫发作使动脉血压、氧分压、葡萄糖、乳酸和肾上腺素显著升高。脑血流量增加了数倍;脑葡萄糖、三磷酸腺苷(ATP)和磷酸肌酸(PCr)没有显著降低。相比之下,窒息期间的癫痫发作与缺氧、低血压、高碳酸血症和酸中毒有关。出现了显著的脑缺血。脑葡萄糖、ATP和PCr显著耗竭。新生犬癫痫发作期间的完全缺氧耗尽了脑能量储备,这导致癫痫活动停止。

相似文献

1
Physiologic and metabolic alterations associated with seizures in normoxic and asphyxiated neonatal dogs.正常氧合和窒息新生犬癫痫发作相关的生理和代谢改变。
Epilepsia. 1984 Oct;25(5):569-73. doi: 10.1111/j.1528-1157.1984.tb03463.x.
2
31P NMR study of cerebral metabolism during prolonged seizures in the neonatal dog.新生犬长时间癫痫发作期间脑代谢的31P核磁共振研究。
Ann Neurol. 1985 Jul;18(1):14-20. doi: 10.1002/ana.410180104.
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The effect of hypotension on brain energy state during prolonged neonatal seizure.
Pediatr Res. 1987 Apr;21(4):357-61. doi: 10.1203/00006450-198704000-00007.
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Cerebral blood flow and oxidative metabolism during hypoxia and asphyxia in the new-born calf and lamb.新生小牛和小羊缺氧和窒息时的脑血流与氧化代谢
J Physiol. 1980 Aug;305:357-76. doi: 10.1113/jphysiol.1980.sp013369.
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In vivo 31P and in vitro 1H nuclear magnetic resonance study of hypoglycemia during neonatal seizure.
Ann Neurol. 1987 Nov;22(5):622-8. doi: 10.1002/ana.410220511.
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Generalized seizures deplete brain energy reserves in normoxemic newborn monkeys.
Brain Res. 1988 Jun 28;454(1-2):51-9. doi: 10.1016/0006-8993(88)90802-5.
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Brain dysfunction in cerebral hypoxia and ischemia.脑缺氧缺血中的脑功能障碍。
Res Publ Assoc Res Nerv Ment Dis. 1974;53:75-112.
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Brain metabolism after electroshock seizure in the neonatal dog: a [31P]NMR study.
Brain Res Bull. 1987 Feb;18(2):261-3. doi: 10.1016/0361-9230(87)90199-7.
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Prolonged neonatal seizures exacerbate hypoxic-ischemic brain damage: correlation with cerebral energy metabolism and excitatory amino acid release.新生儿长期惊厥会加重缺氧缺血性脑损伤:与脑能量代谢及兴奋性氨基酸释放的关系
Dev Neurosci. 2002;24(5):367-81. doi: 10.1159/000069049.
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