大鼠心肺复苏后脑损伤模型的建立

    Modified rat model of cerebral injury after cardiopulmonary resuscitation

    • 摘要: 目的:建立大鼠心肺复苏后脑损伤模型。方法:Wistar大鼠30只从颈外静脉内快速注入2% KCl,导致呼吸、心跳骤停;6min后采用胸腹插入式按摩复苏;60min后处死动物,取全脑用10%甲醛固定,取脑组织做病理学检查。在整个实验过程中动态观察大鼠脑电图、心电图、瞳孔和血压的变化。结果:所有动物在快速注入KCl后30s内呼吸、心跳停止。复苏10min左右心电图均能基本恢复;脑电图在心脏停跳后变平,复苏后60min内未见恢复;动脉血压在心跳骤停后迅速下降至0mmHg,复苏后10min左右上升到80~90mmHg。病理学检查提示:心跳骤停6min后,心、肺、脑均可见缺血缺氧性损伤,复苏60min后心、肺损伤未见加重,但脑损伤加重。结论:大鼠心肺脑复苏动物模型具有经济、实用,损伤创面较小,易于复苏等特征,在心肺复苏后脑损伤的研究中具有一定的使用价值。

       

      Abstract: Objective: To establish a modified rat model of cerebral injury after cardiopulmonary resuscitation(CPR).Methods: The Waster rats were injected with 2% KCl quickly to induce breathing and cardiac arrest;then chest-abdomen snap-on cheirapsis anabiosis was used 6 min later;after 60 min,the animals were killed;the brain was retained with 10% formalin and pathematology examination was carried out.The kinetic changes of the electroencephalogram,electrocardiogram,pupil and blood pressure were observed during the whole experiment.Results: The breathing and heart beating of all the animals were arrested 30 seconds after quick injection of 2% KCl.After about 10 min anabiosis,the dextrocardiogram recovered,the electroencephalogram became flatten after the heart stopped beating,and it didn't recover 60 min after anabiosis.The arterial blood pressure descended quickly to 0 mmHg after the cardiac arrest and ascended to about 80-90 mmHg 10 min after anabiosis.Pathematology examination showed that the heart,lung and brain presented ischemic and anoxic damage 6 min after cardiac arrest,the heart and hung damage did not have obviously improvement and the brain damage was aggravated 60 min after anabiosis.Conclusions: Establishing modified rat model of cerebral injury after cardiopulmonary resuscitation is economic and practical,with the advantages of small wound and easy anabiosis.It is of great value for the study of cerebral injury after CPR.

       

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