神经生理学与麻醉
脑的血流量非常丰富，脑占人体体重的2%，血流量却占心输出量的15%-20%，大脑是高代谢器官，大部分能量用来维持电生理功能，还用于维持细胞内环境稳定。许多研究表明，大部分麻醉药物对正常大脑的脑血流和脑血容量的影响成平行关系，一般情况下不影响血脑屏障的功能，但在异常情况下，麻醉也会对脑血流、颅内压、血脑屏障等产生一定的影响。本文将从脑生理、麻醉药物对脑生理的影响及脑保护的生理等方面汇报神经生理学与麻醉的关系，以下内容出自《摩根麻醉学》，由本人制作整理。https://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLHq1WIht9SuaWofArYDJr5m9gGGVKYmwn6bykSHmE0s6yRqQ0ydjDXw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLgMuL51cxKTYJunjGUupSlMD0QVO8K7NeexEayGycoyzhJUhzNOzexQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLmg4ibjED9ByXXXdtxKxARtJ7sSh5mmlhQD1vAicPK8Y1AV3bFPJrMgmg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLXQ0cv4EoaIUJjia5F0nOV0FPEZUffwU5YRoRmehvFjeGAXcjBC3OcXQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLsHibRhH9z8WT6bKEPGwL0lLE1xIv7KZoEtfpEic3joHA8OE7Cvo86AOg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLBV1OFx9n5ZsabGxKALS2G4zzy6Av3SvRDaRfYRac04ticic3YoeMcFlQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLNznO1e0maXRRkibSr6u1KqlKOKOuRc1v8P13pjkLkiaIVBicCbpDQszibw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLbb9uqNTDr2XuIkY3QeWpJteKfNoAja7QEMasgXIUGa4z9lTUWySibrw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLTicDiciavnAkfcxPhSjvuicuAkxauOKgGfIiaoLPCvTASaom8WOFB5SUOmA/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLcu9WHqaOsQYgqPCaxZiaASDzewt3Mu4OaDtk29k7zz9eZmGrAm585Jw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLhEvjVmzib1RHyh4wrQbibhYaATTR6ay3gYiczicquribjuDEGRcweT5v7lw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLsxU3b7KCOcmpq6bp6J213ibic9wIiaPgRYpfUIQ3IDJUt3GtduzbtCOrA/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLdu0eHb3qHeian2AFeLuCban4SHpP4bZV7PN1GJpADS9Kk3bKj7vCaHQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZL5VvvOJuzksJ1cibwsQPTib4rwYukbyjMibhnXZgSzA7ke4gmmaBHCNSbA/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZL3cguAtzxajfR8WBhGBiaP7ylha2yAX3cxS01E3Col8bQu3EmbDGLVjg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZL0ZicKzh5CS2gcX9Jwuic5EWvo1MzmicGIy9AMkbd73ajdM8z0yB4GHetg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLAHS35OPABLq3ZQNk5IPM8nN6RUGo9NnYTbicTibicYC80wUcoNnCBtD8Q/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLswCXlticL68rvjD5oUUwyHXUrhLXzbTMgwLanKtYMEDjVNKorGEicZsg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLiaufxK68CyTzNictQfwtVtonhkXdRUR9u8nBeQbHBrCn5xtbBouqTEEA/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLKRqAS9QY49omxuZ7ib08icQn6SMiaIeXXCwR4icRyvSmjUmM2eakDCp9Uw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLDzxMzrJbqy2Zp6eiaBwBXiaTxZpGZdrV63Ec1xNgYnmjGsvZGysBnBWQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLZJsc1iaKoJibk3MLa4ibrJP2KWqlD1ICHayXOjo9nOyBF7ZubSYgjibM8A/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLjqib9bCUu2niaaQLvd1uGMHiajCA6PLTTOBSHKqIS5579lP9WQeD3vVDA/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLJUzdFk2aBibeMfyB0RBYFvCLKI5pn4uMTianVmKKNxI4czrRGjIQ1f8w/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZL36ic9mnjFvj34jakfmatz24YOw6QwM9SeCco0bjSlR9bEMXE2GnCRTQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZL8NINWJBISpbntYnfTaTBiaCM5FVJCOicQjvkwnUJ92QHJLYxlpbttz2A/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLjtCEd1dGdZl2ic97p1RmiaJTB9dsxlOzOjzp3ibhF971qnHnyibuLibjozg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLJHibibJXeNIUMh25VBMpugRZUYUzr6GLwHqyG1ueXX7HeYsWGMiaIpibQg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLXA7SxG0fAhhvfLy40zpOUgtQFibAIvHIZm2dP0I2MOrnW5f68aMibEOA/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLJ4BJiavrmnAjrMkiauwuiaTTmO8Hu6icsibDooWIPWywzicIZ8Myaxdtvl3A/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLicBv6ZJsAdJzojibM7tZBqiaU5zkKnJNM4so5t8OmVN36s55PyxjZUwPQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLeAriae3wXSZoCVibT9uFVCSGt0NicsIJYZEibJZIPWsjAJEIGAsoEFGgRg/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLs9uy4ibjkUcAeYQvuia1EHErXjGKSpCvDPYJq0GCllOK37u0vt1HJVYQ/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLUyzyVS02xqd9icw8HxX34Dqs5Of4CfAWhowXiaVbhIzf8IxcU6yRGSTw/640?wx_fmt=pnghttps://mmbiz.qpic.cn/mmbiz_png/KUD4lMLGx2U3DHqaYwkzp8SmJSDicTJZLqntNSdfaUK6tqZ0v9lgYjAick7qe3WJcV8fX8pnQ54kzfphQH2Te55w/640?wx_fm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