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急性脊髓损伤的实验研究:脊髓血流的研究

[Experimental study of acute spinal cord injury: a study of spinal blood flow].

作者信息

Kawata K, Morimoto T, Ohashi T, Tsujimoto S, Hoshida T, Tsunoda S, Sakaki T

机构信息

Department of Neurosurgery, Nara Medical University, Japan.

出版信息

No Shinkei Geka. 1993 Mar;21(3):239-45.

PMID:8487928
Abstract

It is well known that the worsening of neurological findings after spinal cord injury is due to the secondary progression of pathological changes which may be caused by spinal cord blood flow disturbance. We measured spinal blood flow of 5mm rostrally and caudally distant portions from the injured point, using the laser Doppler flowmeter experimentally. Forty rats were used. Ten of these were used as a control group. And thirty animals were injured at the level of the tenth thoracic cord with a 50g epidural one minute compression method and measured continuously from 30 minutes before the injury to 6 hours after the injury. Twenty two surviving animals were evaluated. In the control group, spinal blood flow was stable. But in the injured group, spinal blood flow dropped by 30.6 + 9.8% on the rostral side and 37.3 + 17.6% on the caudal side in comparison with the resting value soon after the injury. Although the flow improved to 89.3 + 11.1 and 71.3 + 17.8% respectively 15 minutes later, it dropped again gradually and reached 42.8 + 14.1 and 66.2 + 16.4% respectively 6 hours after the injury had been inflicted. Lastly, in the animals, carbon perfusion was performed through the left ventricle. The normal figured vasculature in the preparation of the injured and measured portion was calculated with a microcomputer imaging analyzer and compared with control groups. The number of the normal vessels was significantly more abundant on the caudal side than on the rostral side (p < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

众所周知,脊髓损伤后神经功能障碍的恶化是由于病理变化的继发性进展,这可能由脊髓血流紊乱引起。我们使用激光多普勒血流仪,对损伤点上下5毫米处的脊髓血流进行了实验测量。共使用了40只大鼠,其中10只作为对照组。另外30只动物采用50克硬膜外压迫1分钟的方法,在第十胸椎水平造成损伤,并在损伤前30分钟至损伤后6小时进行连续测量。对22只存活的动物进行了评估。对照组中,脊髓血流稳定。但在损伤组中,损伤后即刻,与静息值相比,损伤部位头侧的脊髓血流下降了30.6 + 9.8%,尾侧下降了37.3 + 17.6%。尽管15分钟后血流分别改善到89.3 + 11.1%和71.3 + 17.8%,但随后又逐渐下降,在损伤后6小时分别降至42.8 + 14.1%和66.2 + 16.4%。最后,对动物进行经左心室的碳灌注。用微型计算机图像分析仪计算损伤及测量部位标本中正常形态血管的数量,并与对照组进行比较。正常血管的数量在尾侧明显多于头侧(p < 0.01)。(摘要截短至250字)

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