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面神经切断与刺激对出血性低血压时脑血流和眼血流的影响。

Effects of facial nerve section and stimulation on cerebral and ocular blood flow in hemorrhagic hypotension.

作者信息

Linder J

出版信息

Acta Physiol Scand. 1981 Jun;112(2):185-93. doi: 10.1111/j.1748-1716.1981.tb06803.x.

Abstract

Albino rabbits were anesthetized and artificially ventilated. In two groups of animals the facial nerve on one side was sectioned and/or electrically stimulated at the internal acoustic pore. Hemorrhagic hypotension was induced to reveal a possible parasympathetic vasodilator mechanism, normally masked. The labelled microsphere method was used for flow determination. Section of the facial nerve did not produce any difference between sectioned and intact side, concerning cerebral, ocular and mandibular gland blood flows at normal or low blood pressures. Stimulation of the facial nerve at arterial hypotension produced significant ipsilateral increases in the choroidal and the mandibular gland blood flows. Regional and total cerebral blood flow remained unaffected. The results indicate no or only minimal contribution of the facial nerve to the cerebral vascular tone under conditions of general anesthesia. Further evidence is given in this study for a vasodilator pathway to the eye via the facial nerve, but the resting vasodilator tone under general anesthesia seems to be very low at normotensive as well as hypotensive states.

摘要

将白化兔麻醉并进行人工通气。在两组动物中,一侧的面神经在面神经管内口处被切断和/或电刺激。诱导出血性低血压以揭示通常被掩盖的可能的副交感神经血管舒张机制。使用放射性微球法测定血流量。面神经切断术在正常血压或低血压状态下,切断侧和未切断侧的脑、眼和下颌下腺血流量之间没有产生任何差异。在动脉低血压状态下刺激面神经会使脉络膜和下颌下腺的血流量同侧显著增加。局部和全脑血流量不受影响。结果表明,在全身麻醉条件下,面神经对脑血管张力没有或只有极小的作用。本研究进一步证明了存在一条通过面神经到达眼部的血管舒张途径,但在全身麻醉下,无论是正常血压还是低血压状态,静息血管舒张张力似乎都非常低。

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