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超声造影剂对大鼠微循环的影响。

Influence of sonographic contrast media on microcirculation in rats.

作者信息

Jung F, Mrowietz C, Gordz S, Beller K D, Wenzel E

机构信息

Department of Clinical Haemostasiology and Transfusion Medicine, Saarland University, Germany.

出版信息

Arzneimittelforschung. 1995 Oct;45(10):1138-41.

PMID:8595077
Abstract

In an open placebo-controlled study the influence of the injection of different sonographic contrast media on the microcirculation was proved. The study was performed in 7 Sprague-Dawley rats. In order to examine this query two different sonographic contrast media in comparison to agitated electrolyte solution (as the placebo) were injected into the abdominal aorta of 7 anaesthetized rats as a 2 ml/kg bolus at 10-min intervals. Examined were a newly developed agitated ultrasound solution (AK I: an aequeous solution of a vegetable phospholipid) and a radiographic contrast agent (AK II: 741 mg Ioversol or 350 mg iodine, respectively, per ml) which is used in an agitated form as ultrasound contrast agent, too. 1 min before and until 2 min after each injection the capillary perfusion of the same vessel area in the major omentum was measured (video-recording by use of intravital microscopy). The erythrocyte velocity was determined off-line by an image analysing system. Whereas the agitated X-ray contrast medium AK II decreases the mean capillary perfusion (temporary flow stagnation in single capillaries), AK I as well as agitated electrolyte solution did not influence the capillary erythrocyte velocity in the major omentum. The gaps which appeared immediately after the injection of AK I seem to have been brought about by spherosomes of AK I. Still the spherosomes are so small that they can pass through the capillaries, or if they are larger which cannot be determined using in vivo microscopy the flow force necessary for the deformation of the bubbles is so small that the capillary perfusion is not influenced. The injection of agitated AK I does not lead to significant changes of the microcirculation.

摘要

在一项开放性安慰剂对照研究中,证实了注射不同的超声造影剂对微循环的影响。该研究在7只Sprague-Dawley大鼠身上进行。为了研究这个问题,将两种不同的超声造影剂与搅拌电解质溶液(作为安慰剂)相比,以2 ml/kg的推注量,每隔10分钟注入7只麻醉大鼠的腹主动脉。研究对象是一种新开发的搅拌超声溶液(AK I:一种植物磷脂的水溶液)和一种造影剂(AK II:每毫升分别含741 mg碘海醇或350 mg碘),该造影剂也以搅拌形式用作超声造影剂。在每次注射前1分钟直至注射后2分钟,测量大网膜同一血管区域的毛细血管灌注(通过活体显微镜进行视频记录)。红细胞速度通过图像分析系统离线测定。搅拌的X射线造影剂AK II会降低平均毛细血管灌注(单个毛细血管出现暂时血流停滞),而AK I以及搅拌电解质溶液对大网膜中的毛细血管红细胞速度没有影响。注射AK I后立即出现的间隙似乎是由AK I的球状体引起的。这些球状体仍然非常小,以至于它们可以穿过毛细血管,或者如果它们较大(使用活体显微镜无法确定),气泡变形所需的流动力非常小,以至于不会影响毛细血管灌注。注射搅拌的AK I不会导致微循环发生显著变化。

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