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实验性动脉性蛛网膜下腔出血对脑循环的早期影响。第一部分:猫的实验性蛛网膜下腔出血及其病理生理效应。局部脑血流量测量方法及微循环评估。

Early effects of experimental arterial subarachnoid haemorrhage on the cerebral circulation. Part I: Experimental subarachnoid haemorrhage in cat and its pathophysiological effects. Methods of regional cerebral blood flow measurement and evaluation of microcirculation.

作者信息

Trojanowski T

出版信息

Acta Neurochir (Wien). 1984;72(1-2):79-94. doi: 10.1007/BF01406816.

Abstract

Studies of pathophysiological changes, regional cerebral blood flow (rCBF) and cerebral microcirculation were performed in cats subjected to arterial subarachnoid haemorrhage (SAH). An original method for SAH imitating aneurysm rupture was developed. The bleeding was induced by puncturing of the internal carotid artery approached tranpresphenoidally and followed by immediate closure of the skull opening. It was found, that arterial subarachnoid bleeding elevates intracranial pressure and results in a transitory fall in cerebral perfusion pressure which is not prevented by elevation of arterial blood pressure (Cushing reflex). A depression in brain electrical activity and respiration rate were present in the course of subarachnoid haemorrhage.

摘要

对遭受动脉性蛛网膜下腔出血(SAH)的猫进行了病理生理变化、局部脑血流量(rCBF)和脑微循环的研究。开发了一种模拟动脉瘤破裂的SAH原始方法。通过经蝶窦穿刺颈内动脉并立即封闭颅骨开口来诱导出血。结果发现,动脉性蛛网膜下腔出血会升高颅内压,并导致脑灌注压暂时下降,而动脉血压升高并不能阻止这种下降(库欣反射)。在蛛网膜下腔出血过程中,脑电活动和呼吸频率会出现抑制。

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