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抗组胺药对实验性脑水肿的影响。

Effects of antihistaminics on experimental brain edema.

作者信息

Schilling L, Wahl M

机构信息

Department of Physiology, Ludwig-Maximilians University, München, Federal Republic of Germany.

出版信息

Acta Neurochir Suppl (Wien). 1994;60:79-82. doi: 10.1007/978-3-7091-9334-1_20.

Abstract

Histamine has potent effects on cerebral blood vessels which include increased permeability and dilatation. Since its concentrations are found to be increased in brain tissue in different experimental models of brain injury, histamine may act as a mediator of secondary brain damage. Using the cold-lesion model of vasogenic brain edema the effects of application of antihistaminics were studied in rats. Neither mepyramine, an H1 receptor blocker nor zolantidine, an H2 blocker provided any decrease in brain swelling or water content. Experiments with application of dexamethasone yielded a small non-significant decrease of edema while the amino-steroid U74389F did not reduce swelling. The results indicate that histamine is obviously not involved in mediating cold lesion-induced brain edema. Furthermore, generation of lipid peroxides after activation of phospholipase A2 also appears not to have a significant influence on edema in the present study.

摘要

组胺对脑血管有显著作用,包括增加通透性和扩张血管。由于在不同的脑损伤实验模型中发现脑组织中的组胺浓度会升高,组胺可能作为继发性脑损伤的介质。利用血管源性脑水肿的冷损伤模型,在大鼠中研究了抗组胺药的应用效果。H1受体阻滞剂美吡拉敏和H2阻滞剂佐兰替丁均未使脑肿胀或含水量降低。应用地塞米松的实验使水肿有小幅但无统计学意义的减轻,而氨基类固醇U74389F并未减轻肿胀。结果表明,组胺显然不参与介导冷损伤诱导的脑水肿。此外,在本研究中,磷脂酶A2激活后脂质过氧化物的生成似乎对水肿也没有显著影响。

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