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电惊厥治疗后脑血管的痉挛性收缩。

Spastic constriction of cerebral vessels after electric convulsive treatment.

作者信息

Matakas F, Cervós-Navarro J, Roggendorf W, Christmann U, Sasaki S

出版信息

Arch Psychiatr Nervenkr (1970). 1977 Sep 14;224(1):1-9. doi: 10.1007/BF00342079.

Abstract

The brains of nine cats were subjected to bitemporal electric convulsive treatment. The current (AC, 220 V, 50 Hz, ca. 500 mA, 500 ms) was applied two to five times. Pial vessels were observed through a skull window. Immediately after current application, some pial arteries exhibited segmental spastic constriction which usually did not disappear until the animals were killed. Before sacrificing the animals, 20 min after convulsive treatment they were perfused with a carbon suspension. In some cortical areas blackening was impaired indicating that perfusion was not complete. Electron-microscopic investigation revealed that spasm also occurred in arterioles of the brain parenchyma. Many arterial vessels, some of them possessing only one muscular cell sheat, had collapsed so that the lumen was merely a small cleft. The spasms were irregularly distributed and confined to small segments of the vessel. Small arteriolar vessels were more affected than large pial arteries. Arterial spasms continued for 20 min. In a total of 39 control animals spastic constriction was observed only once; this animal had been subjected to prolonged hypocapnia.

摘要

对9只猫的大脑进行双侧颞部电惊厥治疗。施加电流(交流电,220伏,50赫兹,约500毫安,500毫秒)2至5次。通过颅骨窗口观察软脑膜血管。施加电流后立即观察到一些软脑膜动脉出现节段性痉挛性收缩,这种收缩通常在动物处死前都不会消失。在处死动物前,惊厥治疗20分钟后,用碳悬液对它们进行灌注。在一些皮质区域,变黑情况不佳,表明灌注不完全。电子显微镜检查显示,脑实质的小动脉也发生了痉挛。许多动脉血管,其中一些仅具有一层肌细胞鞘,已经塌陷,使得管腔仅为一个小裂缝。痉挛分布不规则,局限于血管的小部分。小动脉血管比大的软脑膜动脉受影响更严重。动脉痉挛持续了20分钟。在总共39只对照动物中,仅观察到1次痉挛性收缩;这只动物曾经历过长时间的低碳酸血症。

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