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阿耳法埃西诺麻醉期间脑局部血流的变化(作者译)

[Changes in regional blood flow of the brain during althesin anaesthesia (author's transl)].

作者信息

Orgogozo J M, Renou A M, Vernhiet J, Caillé J M, Loiseau P

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1977 Jan-Mar;7(1):98-104. doi: 10.1016/s0370-4475(77)80041-5.

DOI:10.1016/s0370-4475(77)80041-5
PMID:905623
Abstract

The effect of Althesin on local blood flow in the brain was studied using intra-carotid Xenon 133 in 18 subjects: 6 apparently normal, 6 with diffuse cerebro-vascular pathology, and 6 cases of ischaemic cerebral accidents identified by scintigraphy, tomodensitometry and angiography. Blood flow decreased under Althesin in the first 2 groups, although to a lesser extent in the second group, with a concomitant decrease in oxygen metabolism. In the third group a "paradoxical" increase in blood flow was observed in infarcts, and a decrease proportional to the rest of the brain in limited ischaemia which had subsequently regressed. The "Althesin test" proposed by Rasmussen (1975) thus reveals the existence of a disconnection between blood flow and metabolism within cerebral infarcts, and provides a possible means of differentiating the latter from reversible ischaemias.

摘要

使用颈内注射氙133的方法,对18名受试者进行了研究,以观察阿尔泰辛对大脑局部血流的影响。这18名受试者分为三组:6名看似正常,6名患有弥漫性脑血管病变,6名经闪烁扫描、计算机断层扫描和血管造影确诊为缺血性脑卒。在前两组中,使用阿尔泰辛后血流减少,尽管第二组减少程度较小,同时氧代谢也降低。在第三组中,在梗死灶中观察到血流“反常”增加,在局限性缺血区域血流减少程度与大脑其他部位成比例,随后缺血情况有所缓解。因此,拉斯穆森(1975年)提出的“阿尔泰辛试验”揭示了脑梗死区域血流与代谢之间存在脱节现象,并提供了一种区分脑梗死与可逆性缺血的可能方法。

相似文献

1
[Changes in regional blood flow of the brain during althesin anaesthesia (author's transl)].阿耳法埃西诺麻醉期间脑局部血流的变化(作者译)
Rev Electroencephalogr Neurophysiol Clin. 1977 Jan-Mar;7(1):98-104. doi: 10.1016/s0370-4475(77)80041-5.
2
Effects of Althesin on cerebral blood flow and oxygen consumption in man.阿尔泰辛对人体脑血流量和氧耗量的影响。
Br J Anaesth. 1976 Jun;48(6):545-50. doi: 10.1093/bja/48.6.545.
3
Anaesthesia for studies of the cerebral circulation: a comparison of phencyclidine and althesin in the baboon.用于脑循环研究的麻醉:苯环利定与阿法沙龙在狒狒体内的比较。
Br J Anaesth. 1978 Oct;50(10):985-91. doi: 10.1093/bja/50.10.985.
4
Althesin in neurosurgical patients: effects on cerebral hemodynamics and metabolism.阿尔thesin在神经外科手术患者中的应用:对脑血流动力学和代谢的影响。 (注:原文中Althesin可能是一种特定药物名称,这里按音译处理,可能需要结合专业知识进一步准确翻译该药物名)
Acta Anaesthesiol Scand. 1978;22(3):257-69. doi: 10.1111/j.1399-6576.1978.tb01300.x.
5
Vascular reactivity with althesin (R) in focal cerebral ischemia.
Acta Neurol Scand Suppl. 1977;64:172-3.
6
[Effects of Alfatesine (ct 1341) on cerebral blood flow and metabolism in man. Global and regional changes].[阿法替辛(ct 1341)对人体脑血流量和代谢的影响。整体及局部变化]
Ann Anesthesiol Fr. 1976;17(11):1247-54.
7
[Energy metabolism of the human heart under the influence of Althesin (Glaxo CT 1341) (author's transl)].
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8
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Anaesthesist. 1976 Jan;25(1):10-8.
9
[Study of the effects of Alfatesin on cerebral blood flow in cats].
Ann Anesthesiol Fr. 1975 Oct;16(6):417-22.
10
Use of a continuous infusion of althesin in neuroanaesthesia. Changes in cerebral blood flow, cerebral metabolism, the EEG and plasma alphaxalone concentration.阿法沙龙持续输注在神经麻醉中的应用。脑血流量、脑代谢、脑电图及血浆阿法沙龙浓度的变化
Br J Anaesth. 1985 Apr;57(4):369-74. doi: 10.1093/bja/57.4.369.