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[选择性脑冷却]

[Selective brain cooling].

作者信息

Corrard F

出版信息

Arch Pediatr. 1999 Jan;6(1):87-92. doi: 10.1016/S0929-693X(99)80080-3.

DOI:10.1016/S0929-693X(99)80080-3
PMID:9974103
Abstract

The brain is especially sensitive to heat stress. To limit the increase of intracranial heat in case of hyperthermia or fever, a system of selective cooling is put on. It includes two heat-exchangers. The first one, in the face and scalp skin, disperses calories through sweat evaporation. The second one is intracranial, close to the arteries which irrigate the brain. They are connected by a vascular network. In these conditions, the arterial blood temperature, of which cerebral temperature depends upon, is reduced by the cooled venous blood which comes from subcutaneous tissues through the skull wall. On feverish children, increasing such a selective cooling by face fanning can limit cerebral thermal stress.

摘要

大脑对热应激特别敏感。为了在体温过高或发烧时限制颅内热量的增加,启用了一种选择性冷却系统。它包括两个热交换器。第一个位于面部和头皮皮肤,通过汗液蒸发散发热量。第二个位于颅内,靠近为大脑供血的动脉。它们通过血管网络相连。在这种情况下,大脑温度所依赖的动脉血温度会被从皮下组织通过颅骨壁流回的冷却静脉血降低。对于发烧的儿童,通过扇脸来增强这种选择性冷却可以减轻脑部的热应激。

相似文献

1
[Selective brain cooling].[选择性脑冷却]
Arch Pediatr. 1999 Jan;6(1):87-92. doi: 10.1016/S0929-693X(99)80080-3.
2
Temperature difference between the body core and arterial blood supplied to the brain during hyperthermia or hypothermia in humans.人类在体温过高或过低期间,身体核心温度与供应给大脑的动脉血之间的温差。
Biomech Model Mechanobiol. 2002 Oct;1(2):137-49. doi: 10.1007/s10237-002-0011-2.
3
Absence of selective brain cooling in free-ranging zebras in their natural habitat.在自然栖息地的野生斑马中不存在选择性脑冷却现象。
Exp Physiol. 2000 Mar;85(2):209-17.
4
Effects of diuretic-induced hypovolemia/isosmotic dehydration on cardiorespiratory responses to hyperthermia and its physical treatment in rabbits.利尿剂诱导的低血容量/等渗性脱水对家兔热应激心肺反应及其物理治疗的影响。
Int J Hyperthermia. 2006 Mar;22(2):135-47. doi: 10.1080/02656730500531988.
5
Selective brain cooling in hyperthermia: the mechanisms and medical implications.热疗中的选择性脑冷却:机制及医学意义。
Med Hypotheses. 1998 Mar;50(3):203-11. doi: 10.1016/s0306-9877(98)90019-6.
6
Enhanced brain protection during passive hyperthermia in humans.人体被动热疗期间增强的脑保护作用。
Eur J Appl Physiol Occup Physiol. 1987;56(5):540-5. doi: 10.1007/BF00635367.
7
Brain temperature and limits on transcranial cooling in humans: quantitative modeling results.脑温与人体经颅冷却的限度:定量建模结果
Eur J Appl Physiol Occup Physiol. 1998 Sep;78(4):353-9. doi: 10.1007/s004210050431.
8
Effect of facial cooling on tympanic temperature.
Am J Crit Care. 1997 Jan;6(1):46-51.
9
Tympanic temperatures during hemiface cooling.半侧面部冷却期间的鼓膜温度。
Eur J Appl Physiol Occup Physiol. 1987;56(5):534-9. doi: 10.1007/BF00635366.
10
Selective brain cooling seems to be a mechanism leading to human craniofacial diversity observed in different geographical regions.选择性脑冷却似乎是导致在不同地理区域观察到人类颅面多样性的一种机制。
Med Hypotheses. 2004;63(6):974-9. doi: 10.1016/j.mehy.2004.05.003.

引用本文的文献

1
Treatment of resistant fever: new method of local cerebral cooling.治疗耐药性发热:局部脑冷却的新方法。
Neurocrit Care. 2011 Aug;15(1):107-12. doi: 10.1007/s12028-010-9451-1.