酸性脑脊液对蛛网膜下腔出血后脊髓中央通道命运的预测作用:一项实验研究。

Mehmet H Sahin, Mehmet E Akyuz, Mehmet K Karadag, Mete Zeynal, Mehmet D Aydin
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引用次数: 0

摘要

目的:酸中毒是蛛网膜下腔出血(SAH)最危险的并发症。本研究旨在探讨酸性脑脊液对蛛网膜下腔出血后中枢神经管结构的影响。材料与方法:对28只杂交兔进行了研究。在实验程序之前/期间/之后记录血液和脑脊液pH值。然后对颈脊髓C5水平的与中央管相关的结构进行组织病理学检查。统计分析室管膜细胞pH值与退化上皮细胞密度的关系。结果:研究动物的平均血液pH值和退化室管膜细胞密度(n/mm2)分别为:对照组为7.351±0.033/23±7,SHAM组为7.322±0.059/78±13,研究动物为7.261±0.048/254±62。大体检查显示脊髓肿胀、水肿、蛛网膜粘连、腹管扩张、蛛网膜炎、中央管出血、闭塞和扩张。结论:脑脊液酸中毒引起的中枢通道病变应被视为SAH后SAH的重要并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predestinative role acidic cerebrospinal fluid on the destiny of central channel in spinal cord following subarachnoid hemorrhage: an experimental study.

Objective: Acidosis is the most dangerous complication in subarachnoid hemorrhage (SAH). This study aimed to investigate the effect of acidic cerebrospinal fluid on central canal structures after SAH.

Materials and methods: Twenty-eight hybrid rabbits were studied. Blood and cerebrospinal fluid pH values were recorded before/during/after the experimental procedures. The structures related to the central canals at the level of C5 of the cervical spinal cord were then examined histopathologically. The relationship between pH values of ependymal cells and degenerated epithelial cell densities was statistically analyzed.

Results: Mean blood pH values and degenerated ependymal cell density (n/mm2) were as follows: 7.351 ± 0.033/23 ± 7 in control, 7.322 ± 0.059/78 ± 13 in SHAM, and 7.261 ± 0.048/254 ± 62 in study animals. Gross examinations revealed swelling, edema, pia-arachnoid adhesions, ventral canal dilatation, arachnoiditis, central canal hemorrhage, occlusions, and dilatation in the spinal cord.

Conclusion: Cerebrospinal fluid acidosis-induced central channel pathologies should be considered an important complication of SAH following SAH.

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