麻醉对脑动脉对高碳酸血症反应的影响。

J. Levasseur, H. Kontos
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引用次数: 22

摘要

我们观察了45 mg/kg戊巴比妥钠或75 mg/kg α -氯醛加500 mg/kg尿素脲诱导全身麻醉对长期植入颅窗观察脑微循环的家兔脑小动脉对高碳酸血症的反应。两种麻醉药诱导的麻醉效果大致相当,并在相同程度上降低了对二氧化碳的反应性。两种麻醉药均未引起静息血管直径或平均动脉血压的变化,但两种麻醉药均增加了室内空气呼吸时的呼气末二氧化碳分压。结果表明,麻醉剂抑制脑小动脉对高碳酸血症的反应。可能涉及脑代谢减少和/或麻醉剂对脑血管的直接影响。
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Effects of anesthesia on cerebral arteriolar responses to hypercapnia.
We evaluated the effect of general anesthesia induced by 45 mg/kg iv pentobarbital sodium or by 75 mg/kg iv alpha-chloralose plus 500 mg/kg iv urethan on the response of cerebral arterioles to hypercapnia in rabbits equipped with chronically implanted cranial windows for the observation of the cerebral microcirculation. Both types of anesthetic induced approximately comparable anesthesia and depressed the responsiveness to CO2 to an equal extent. There were no changes in resting vessel diameter or in mean arterial blood pressure induced by either anesthetic, but both anesthetics increased end-expiratory PCO2 during room air breathing. The findings show that anesthetics depress the responsiveness of cerebral arterioles to hypercapnia. A decrease in cerebral metabolism and/or direct effects of the anesthetics on cerebral vessels may be involved.
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