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局部高氧期间,静脉压升高会导致脑小动脉发生肌源性收缩。

Increased venous pressure causes myogenic constriction of cerebral arterioles during local hyperoxia.

作者信息

Wei E P, Kontos H A

出版信息

Circ Res. 1984 Aug;55(2):249-52. doi: 10.1161/01.res.55.2.249.

Abstract

The responses of cerebral (pial) arterioles to increased venous pressure were examined in anesthetized cats equipped with cranial windows for the observation of the cerebral microcirculation. Increased venous pressure was induced by occlusion of the superior vena cava. Intracranial pressure was kept constant. Increased venous pressure when the window was filled with stationary cerebrospinal fluid caused 9-12% arteriolar dilation. Cerebral arteriolar dilation of equal magnitude (8-12%) was also seen when the space under the cranial window was perfused with fluorocarbon FC-80 equilibrated with 100% nitrogen. Increased venous pressure when the cranial window space was perfused with fluorocarbon equilibrated with 100% oxygen caused a small (5%) but significant arteriolar constriction. These results show that the dominant mechanism of autoregulation in the cerebral arterioles is metabolic, and that it involves an oxygen-sensitive mechanism. Myogenic vasoconstriction is unmasked during venous hypertension when the dominant metabolic mechanism is eliminated by increased local supply of oxygen.

摘要

在配备有用于观察脑微循环的颅骨视窗的麻醉猫中,研究了脑(软脑膜)小动脉对静脉压升高的反应。通过上腔静脉闭塞诱导静脉压升高。颅内压保持恒定。当视窗充满静止的脑脊液时,静脉压升高导致小动脉扩张9 - 12%。当用与100%氮气平衡的氟碳化合物FC - 80灌注颅骨视窗下方的空间时,也观察到同等程度(8 - 12%)的脑小动脉扩张。当用与100%氧气平衡的氟碳化合物灌注颅骨视窗空间时,静脉压升高导致小动脉出现轻微(5%)但显著的收缩。这些结果表明,脑小动脉自身调节的主要机制是代谢性的,并且涉及一种氧敏感机制。当通过增加局部氧气供应消除主要的代谢机制时,在静脉高压期间肌源性血管收缩会显现出来。

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