Okazaki A
Department of Anesthesiology, Juntendo University Izu-Nagaoka Hospital, Shizuoka.
Masui. 1993 Jun;42(6):819-25.
The previous report of ours showed that the biphasic depression of the compound action potentials in cat tibial nerve was observed after administration of 2% aqueous phenol, and the delayed depression was considered to be the result of the ischemia of the nerve fibers caused by the vascular damage with phenol. This second report includes two studies; one is the change in total blood flow of the cat tibial nerve, and the other is the observation of the microcirculatory damage of the nerve surface and its contribution to the block of nerve transmission. The sacral and tibial nerves were exposed under microscopic vision and platinum electrodes were placed on both nerves; one for nerve stimulation and the other for recording its action potential. First, total blood flow of the tibial nerve tissue was measured using laser doppler flow meter ALF-2100 with A-type probe (Advance), and secondly, using videomicroscope VMS-1300 with object lens LL-006W (Nihon Kohden), magnifying objects 500 times, the change of the microcirculation of the nerve was observed. With the doppler flow meter, no statistical changes in total blood flow was recognized with both 2% and 5% aqueous phenol. The examination of microcirculation was followed. In cases of physiologic saline injection, the blood flow stagnated within one minute after injection. After recovery, no more change was recognized in microcirculatory blood flow. In cases of 2% aqueous phenol, prior to the delayed depression of the compound action potentials, the progressive damage in microcirculation, such as slugging, oscillation, plasma skimming and inverted flow, were observed after transient cessation of the microcirculation.(ABSTRACT TRUNCATED AT 250 WORDS)
我们之前的报告显示,给猫的胫神经注射2%的苯酚水溶液后,可观察到复合动作电位出现双相性降低,且延迟性降低被认为是苯酚导致血管损伤引起神经纤维缺血的结果。本第二篇报告包含两项研究;一项是猫胫神经总血流量的变化,另一项是观察神经表面的微循环损伤及其对神经传导阻滞的作用。在显微镜下暴露骶神经和胫神经,并将铂电极置于两条神经上;一条用于神经刺激,另一条用于记录其动作电位。首先,使用配有A型探头(Advance公司)的激光多普勒血流仪ALF - 2100测量胫神经组织的总血流量,其次,使用配有物镜LL - 006W(日本光电公司)、放大倍数为500倍的视频显微镜VMS - 1300观察神经微循环的变化。使用多普勒血流仪,2%和5%的苯酚水溶液均未引起总血流量的统计学变化。随后进行微循环检查。注射生理盐水的情况下,注射后一分钟内血流停滞。恢复后,微循环血流未再出现变化。在注射2%苯酚水溶液的情况下,在复合动作电位出现延迟性降低之前,微循环出现了如血流淤滞、振荡、血浆渗出和逆流等进行性损伤,且微循环短暂停止。(摘要截选至250字)