首页   按字顺浏览 期刊浏览 卷期浏览 Cerebrovascular Mechanisms in Perinatal AsphyxiaThe Role of Vasogenic Brain Edema
Cerebrovascular Mechanisms in Perinatal AsphyxiaThe Role of Vasogenic Brain Edema

 

作者: W. TWEED,   MICHAEL PASH,   GEORGE DOIG,  

 

期刊: Pediatric Research  (OVID Available online 1981)
卷期: Volume 15, issue 1  

页码: 44-46

 

ISSN:0031-3998

 

年代: 1981

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Previous studies from our laboratory have demonstrated penetration of Evan's blue dye into the brain in profound fetal asphyxia, suggesting that vasogenic brain edema (BE) might be an immediate contributing factor hi asphyxiai brain injury. We modified the125I-labeled albumin method of Pappius and McCann to quantitate vasogenic BE after acute fetal asphyxia. With51Cr-labeled red cells to measure intravascular volume, and125I-labeled albumin to measure total tissue plasma, the equivalent extra vascular plasma volume,i.e., vasogenic BE, was calculated. Twenty chronically prepared animals were studied, six nonasphyxiated controls and 14 asphyxiated (of which six term animals were normotensive and five term and three premature animals were hypertensive during asphyxia). No difference hi extra vascular plasma volume was found between asphyxiated and control animals hi any of four brain regions. We conclude that, although blood brain barrier function might be impaired, vasogenic BE is not quantitatively significant immediately after severe fetal asphyxia.SpeculationAn episode of acute, profound asphyxia hi the fetal lamb is not accompanied by the formation of measurable amounts of vasogenic brain edema. Therefore, brain swelling is probably not an important factor in the genesis of acute hypoxic neurologic injury.

 

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