Kobrine A I, Doyle T F, Martins A N
Clin Neurosurg. 1975;22:573-81. doi: 10.1093/neurosurgery/22.cn_suppl_1.573.
The response of SCBF to changes in pACO2 was tested in Rhesus monkeys under normotensive conditions. A sigmoid shaped response was demonstrated. At a pACO2 of 10 to 50 mm. Hg, SCBF remained constant and in the normal range. As the pACO2 was raised from 50 to 90 mm. Hg, SCBF increased. Further increases in the pACO2 above 90 mm. Hg failed to effect further changes in SCBF. We conclude from these data that SCBF is somewhat less responsive than CBF to changes in pACO2. Next, the effect of changes in MAP on SCBF was studied under normocapnic conditions. SCBF remained constant and in the normal range with an MAP of 50 to 135 mm. Hg. Above 135 mm. Hg, SCBF rose with further increases in MAP. With decreases in MAP below 50 mm. Hg, SCBF fell passively. It is our conclusion that autoregulation exists in the lateral white matter of the spinal cord and follows a pattern similar to that suggested for the cerebrum.
在血压正常的条件下,对恒河猴的脊髓血流量(SCBF)对动脉血二氧化碳分压(pACO2)变化的反应进行了测试。结果显示出一种S形反应。当pACO2为10至50毫米汞柱时,SCBF保持恒定且在正常范围内。当pACO2从50毫米汞柱升至90毫米汞柱时,SCBF增加。当pACO2进一步升高超过90毫米汞柱时,未能引起SCBF的进一步变化。从这些数据我们得出结论,SCBF对pACO2变化的反应比脑血流量(CBF)略低。接下来,在正常碳酸血症条件下研究平均动脉压(MAP)变化对SCBF的影响。当MAP为50至135毫米汞柱时,SCBF保持恒定且在正常范围内。当MAP高于135毫米汞柱时,随着MAP进一步升高,SCBF上升。当MAP降至50毫米汞柱以下时,SCBF被动下降。我们的结论是,脊髓外侧白质存在自动调节,且遵循与大脑相似的模式。