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[肾上腺素能机制在急性心肌缺血性脑血管疾病发生中的作用]

[Role of adrenergic mechanisms in the development of cerebrovascular disorders in acute myocardial ischemia].

作者信息

Miller L G

出版信息

Biull Eksp Biol Med. 1982 Dec;94(12):9-11.

PMID:7150774
Abstract

Acute experiments were made on cats to study the general and local cerebral blood flow, the cerebrovascular tone and systemic hemodynamics during acute myocardial ischemia. Occlusion of the coronary artery resulted in the reduction of the blood flow in the carotid artery and brain cortex, decreased arterial pressure, and the cardiac output. Short-term vasodilatation was replaced by prolonged vasoconstriction which increased during myocardial ischemia. The blockade of beta-adrenoreceptors with propranolol reduced vasoconstriction. The blockade of alpha-adrenoreceptors removed or distorted vasoconstriction of the brain and hind limb vessels. The mechanisms by which brain circulatory disorders occur are discussed.

摘要

对猫进行了急性实验,以研究急性心肌缺血期间的全脑和局部脑血流量、脑血管张力及全身血流动力学。冠状动脉阻塞导致颈动脉和脑皮质血流量减少、动脉压降低以及心输出量减少。短期血管舒张被心肌缺血期间增强的长期血管收缩所取代。用普萘洛尔阻断β-肾上腺素能受体会减少血管收缩。阻断α-肾上腺素能受体会消除或扭曲脑和后肢血管的血管收缩。文中讨论了脑循环障碍发生的机制。

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