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氟烷和硫喷妥钠对颅内压正常犬脑表面压力和脑电阻抗的影响。

Effects of halothane and sodium thiopentone on surface brain pressure and brain electrical impedance in dogs with normal intracranial tension.

作者信息

Schettini A, Moreshead G

出版信息

Br J Anaesth. 1978 Oct;50(10):1003-12. doi: 10.1093/bja/50.10.1003.

Abstract

The effects of the inhalation of halothane and the i.v. administration of thiopentone on surface brain pressure and brain electrical impedance, at a frequency of 1 kHz, were investigated in 14 chronically implanted dogs. In dogs with normal PaCO2, halothane, at inspired concentrations of 0.8, 1.2, 1.5 and 2.0%, produced increases in brain pressure and impedance. Thiopentone i.v. and hyperventilation preceding the administration of halothane lessened, but did not prevent, the increases in brain pressure and impedance. Thiopentone 35 mg kg-1 decreased both pressure and impedance. The dose-related (P less than 0.01) increase in surface brain pressure was attributed to cerebral vascular expansion; the increase in impedance was not dose related and was interpreted as a loss of conductivity in brain extracellular space (e.c.s.). This loss could be a result of a decrease in both brain e.c.s. volume and its electrolyte concentration resulting from intracellular translocation and electrical inactivation of available ions in brain e.c.s. caused by increased cation binding. These phenomena might be related to the interaction between the anaesthetic molecule and cell proteins. The present study suggests that, in contrast to thiopentone, halothane induced a reversible ionic imbalance in the central nervous system.

摘要

在14只长期植入电极的狗身上,研究了吸入氟烷和静脉注射硫喷妥钠对脑表面压力和频率为1kHz时脑电阻抗的影响。在动脉血二氧化碳分压(PaCO2)正常的狗中,吸入浓度为0.8%、1.2%、1.5%和2.0%的氟烷会导致脑压力和电阻抗升高。在注射氟烷之前静脉注射硫喷妥钠和进行过度通气可减轻但不能阻止脑压力和电阻抗的升高。35mg/kg的硫喷妥钠可降低压力和电阻抗。脑表面压力与剂量相关的升高(P<0.01)归因于脑血管扩张;电阻抗的升高与剂量无关,被解释为脑细胞外间隙(e.c.s.)电导率的降低。这种降低可能是由于脑细胞外间隙体积及其电解质浓度降低所致,这是由脑细胞外间隙中可用离子的细胞内转运和电失活以及阳离子结合增加引起的。这些现象可能与麻醉分子和细胞蛋白质之间的相互作用有关。本研究表明,与硫喷妥钠不同,氟烷在中枢神经系统中诱导了可逆的离子失衡。

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