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脑梗死急性期的再灌注:关于脑肿胀及其用甘露醇或甘油抑制的实验研究

Recirculation in the acute period of cerebral infarction: experimental research on brain swelling and its suppression by using mannitol or glycerol.

作者信息

Suzuki J, Tanaka S, Yoshimoto T, Seki H

出版信息

Acta Neurochir (Wien). 1980;54(3-4):219-31. doi: 10.1007/BF01407089.

DOI:10.1007/BF01407089
PMID:6778084
Abstract

Using our previously published "incomplete cerebral hemispheric infarction model in dogs" (produced by simultaneous ipsilateral occlusions of the anterior cerebral artery at the branching of the ethmoidal artery from its A1 portion, the A2 portion, the internal carotid artery, the posterior communication artery, the posterior cerebral artery, and the anterior cerebellar artery), two, four, or six hours occlusion of blood flow was undertaken. Observations were then made on the degree of brain swelling following recirculation due to administration of mannitol or glycerol solutions. Furthermore, the leakage of Evans blue was investigated to determine the damage to the blood brain barrier. 1. In the animals given mannitol or glycerol, brain swelling was suppressed, following two hours occlusion, In the animals given mannitol, however, brain swelling was not suppressed after four or six hours occlusion. 2. After two hours occlusion in the animals given mannitol, leakage of Evans blue was slight compared with the untreated group. In the six hours occlusion groups, severe leakage of Evans blue was seen in both the untreated animals and the mannitol-treated. After two hours occlusion, in some animals which had been given glycerol, severe leakage of Evans blue was seen, even when there was little brain swelling.

摘要

利用我们之前发表的“犬不完全性大脑半球梗死模型”(通过同时夹闭筛动脉从其A1段、A2段分支处的大脑前动脉、颈内动脉、后交通动脉、大脑后动脉以及小脑前动脉的同侧血流而产生),进行了两小时、四小时或六小时的血流阻断。然后观察给予甘露醇或甘油溶液后再灌注时的脑肿胀程度。此外,研究伊文思蓝的渗漏情况以确定血脑屏障的损伤。1. 在给予甘露醇或甘油的动物中,两小时阻断后脑肿胀得到抑制。然而,在给予甘露醇的动物中,四小时或六小时阻断后脑肿胀未得到抑制。2. 在给予甘露醇的动物中,两小时阻断后,与未治疗组相比,伊文思蓝的渗漏轻微。在六小时阻断组中,未治疗动物和甘露醇治疗动物均出现严重的伊文思蓝渗漏。两小时阻断后,在一些给予甘油的动物中,即使脑肿胀轻微,也出现了严重的伊文思蓝渗漏。

相似文献

1
Recirculation in the acute period of cerebral infarction: experimental research on brain swelling and its suppression by using mannitol or glycerol.脑梗死急性期的再灌注:关于脑肿胀及其用甘露醇或甘油抑制的实验研究
Acta Neurochir (Wien). 1980;54(3-4):219-31. doi: 10.1007/BF01407089.
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[Recirculation in the acute period of cerebral infarction: experimental research--brain swelling and its suppression using mannitol and glycerol (author's transl)].脑梗死急性期的再循环:实验研究——脑肿胀及其用甘露醇和甘油的抑制作用(作者译)
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Recirculation in the acute period of cerebral infarction: brain swelling and its suppression using mannitol.脑梗死急性期的再灌注:脑肿胀及其甘露醇抑制作用
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引用本文的文献

1
Suppression of brain swelling with mannitol and perfluorochemicals. An experimental study.
Acta Neurochir (Wien). 1981;58(3-4):149-60. doi: 10.1007/BF01407122.

本文引用的文献

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ORAL GLYCEROL FOR THE REDUCTION OF INTRACRANIAL PRESSURE.口服甘油降低颅内压
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