CEREBRAL BLOOD-FLOW AND OXYGEN-CONSUMPTION IN THE RAT-BRAIN DURING EXTREME HYPERCARBIA

被引:69
作者
BERNTMAN, L
DAHLGREN, N
SIESJO, BK
机构
[1] UNIV LUND HOSP,DEPT RES 4,EXPTL BRAIN RES LAB,E BLOCKET,S-22185 LUND,SWEDEN
[2] UNIV LUND HOSP,DEPT ANAESTHESIA,S-22185 LUND,SWEDEN
[3] UNIV LUND HOSP,MRC,CEREBRAL METAB GRP,E BLOCKET,S-22185 LUND,SWEDEN
关键词
D O I
10.1097/00000542-197904000-00004
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The effects of hypercapnia (Pa(CP2) 80, 160 and 300 torr) on cerebral metabolic rate for oxygen (CMR(O2) and blood flow (CBF) were evaluated in paralyzed, mechanically ventilated rats by use of a 133Xe modification of the Kety-Schmidt inert-gas technique. Hypercapnic rats (Pa(CO2) 80 torr) maintained on N2,O, 70 per cent, had a sixfold increase in CBF and a 25 per cent increase in CMR(O2), which were not prevented by adrenalectomy or decreases in tissue O2 tensions to near-normal values. Further increases in arterial blood CO2 tensions were associated with decreases in CMR(O2) to normal (Pa(CO2) 160 torr) or subnormal values (Pa(CO2) 300 torr). In the last situation there was only a threefold increase in CBF. In rats with Pa(CO2) about 80 torr that were given propranolol, 2.5 mg.kg-1, during N2O anesthesia, there was only a threefold increase in CBF, while CMR(O2) decreased to below normocapnic control values. Rats with Pa(CO2) 80 torr given sedative or anesthetic doses of diazepam (ventilated with O2, 30 per cent, in N2) also had decreased CMR(O2) values and had a twofold increase in CBF. It is concluded that hypercapnia activates catecholaminergic neurons in the brain, and that this activation increases oxygen consumption. The increase in flow that occurs with hypercapnia is markedly influenced by activity in catecholaminergic neurons.
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页码:299 / 305
页数:7
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