Shigeno T, Shigeno S, Cervós-Navarro J, Brock M
No Shinkei Geka. 1981 Dec;9(13):1477-84.
Gravimetric determination of brain tissue water content through the measurement of specific gravity (SG) still poses some basic problems. We have studied some of them with the aid of a new gradient column. Using a specially designed conical cylinder to distribute the solution in a graded manner, and a floating apparatus, a gradient column was automatically prepared with a high linearity (r greater than 0.99990). Analysis of equilibration time-course curves of cat brain tissue fragments with various sizes showed that it was more accurate to use volumes as large as 50 mg, and to measure as early as one minute after tissue insertion. In normal brain, SG of grey matter was usually higher than that of white matter. In contrast, in a brain with oligemia or with low hemoglobin contents of blood, this relationship was reversed. Thus, SG can be influenced not only by water content, but also by other factors. As SG of blood is higher than that of brain tissue, cerebral blood volume (CBV) is of particular interest. Assuming the total brain volume as equal to 1, CBV and volume of brain proper excluding intravascular blood can be expressed as x and 1-x respectively. In a given brain tissue, SG of blood or perfusate a, and SG of whole brain tissue A can be measured. If SG of brain proper is expressed as y, the following equation can be introduced: ax + y(1-x)=A. If a and A are obtained from two different brains under the condition of constant CBV, x, 1-x and y can be calculated. For this purpose, values from normal brain and those from perfused brain with isotonic saline were applied. The calculated CBV was 7% in the grey and 3% in the white. SG of brain proper was as low as 0.002 in the grey and 0.001 in the white as compared to that of whole brain tissue. When these values are applied to the equation of percent change in tissue volume as water = (SG of control tissue-1)-(SG of experimental tissue-1)/(SG of experimental tissue-1) x 100%, the false positive increase of water in a completely ischemic brain without edema is approximately 4% in the grey and 2% in the white. Then, care should be taken in the assessment of water increase from SG, particularly in the early stage of ischemic edema.
通过测量比重(SG)来重量法测定脑组织含水量仍然存在一些基本问题。我们借助一种新型梯度柱对其中一些问题进行了研究。使用专门设计的圆锥筒以分级方式分布溶液,并利用一个漂浮装置,自动制备出线性度很高(r大于0.99990)的梯度柱。对不同大小的猫脑组织碎片的平衡时间进程曲线进行分析表明,使用50毫克这么大的体积且在组织插入后一分钟尽早进行测量更为准确。在正常大脑中,灰质的比重通常高于白质。相比之下,在患有低血容量或血液血红蛋白含量低的大脑中,这种关系则相反。因此,比重不仅会受到含水量的影响,还会受到其他因素的影响。由于血液的比重高于脑组织,脑血容量(CBV)就特别值得关注。假设整个脑体积等于1,脑血容量和不包括血管内血液的脑实质体积可分别表示为x和1 - x。在给定的脑组织中,可以测量血液或灌注液的比重a以及整个脑组织的比重A。如果脑实质的比重表示为y,则可以引入以下方程:ax + y(1 - x)=A。如果在脑血容量恒定的条件下从两个不同的大脑中获得a和A,就可以计算出x、1 - x和y。为此,应用了正常大脑以及用等渗盐水灌注的大脑的数据。计算得出灰质中的脑血容量为7%,白质中的为3%。与整个脑组织相比,脑实质的比重在灰质中低至0.002,在白质中为0.001。当将这些值应用于组织体积中水百分比变化的方程:水 = (对照组织比重 - 1)-(实验组织比重 - 1)/(实验组织比重 - 1)×100%时,则在没有水肿的完全缺血性大脑中,灰质中水的假阳性增加约为4%,白质中为2%。因此,在根据比重评估水分增加时应谨慎,尤其是在缺血性水肿的早期阶段。