ǰÑÔ
ÐÄÂÉʧ³£(arrhythmia)ÊÇÁÙ´²×î³£¼ûµÄÐÄѪ¹Ü¼²²¡Ö®Ò»£¬Ö÷ÒªÓÉÓÚÐÄÔ༤¶¯µÄÆðÔ´»ò´«µ¼Òì³£ÒýÆðÐÄÂÉ»òÐÄÂʸı䡣ʵÑéÐÔÐÄÂÉʧ³£¶¯ÎïÄ£×ӵĸ´ÖÆÒªÁìÖ÷ÒªÓÐÒ©ÎïÓÕµ¼¡¢µç´Ì¼¤ºÍ¹Ú×´¶¯Âö½áÔú¡£³£Óõ͝ÎïÓÐСÊó¡¢´óÊó¡¢ëàÊó¡¢¼ÒÍá¢Ã¨¡¢È®ºÍÖíµÈ¡£±¾½Ú¾ÍÐÄÂÉʧ³£ÖнÏΪ³£¼ûµÄÐÄ·¿²ü¶¶£¯ÆË¶¯¡¢·¿ÐÔÐ͝¹ýËÙ¡¢ÊÒÐÔÐ͝¹ýËÙ¡¢ÐÄÊÒ²ü¶¶¡¢²¡Ì¬ ñ¼·¿½á×ÛºÏÕ÷¡¢·¿ÊÒ´«µ¼×èÖ͵ȶ¯ÎïÄ£×Ó¾ÙÐÐÏÈÈÝ¡£
»ºÂýÐÔÐÄÂÉʧ³£ÊÇÓÉÓÚÐļ¡´«µ¼¹¦Ð§Ï÷Èõ¼°ÐÄÔàÆð²«¹¦Ð§Õϰ¶øÒýÆðµÄһϵÁÐÐÄÂʼõÂýµÄ¼²²¡£¬°üÀ¨ñ¼ÐÔ»ºÂýÐÔÐÄÂÉʧ³£¡¢·¿ÊÒ½ÓÈÀÐÔÐÄÂÉ¡¢ÐÄÊÒ×ÔÖ÷ÐÄÂÉ¡¢´«µ¼×èÖÍ£¨°üÀ¨ñ¼·¿´«µ¼×èÖÍ¡¢ÐÄ·¿ÄÚ´«µ¼×èÖÍ¡¢·¿ÊÒ´«µ¼×èÖÍ£©µÈ¡£³£ÓõÄÒªÁìÓÐÒ©ÎïÓÕµ¼»¯Ñ§ÏûÈÚ¡¢É䯵ÏûÈÚ¼°ÃÔ×ßÉñ¾¸É´Ì¼¤µÈ¡£
²¿·ÖÔìÄ£ÒªÁì
ʹÓö¯Î´óÊó¡¢È®
¡¾ÔìÄ£»úÖÆ¡¿£º
ÃÔ×ßÉñ¾ÔÚµ÷ÀíÐÄѪ¹ÜÔ˶¯ÖÐÆðÖ÷Òª×÷Ó㬶ÔÐÄÔàµÄÖ÷ÒªÌåÏÖΪ¸ºÐÔÆµÂÊ¡¢¸ºÐÔ´«µ¼ºÍ¸ºÐÔ¼¡Á¦×÷Óã¬ÆäÐË·Üʱ¿ÉÒýÆðÐÄÂÊϽµ¡¢ÐË·Ü´«µ¼¼õÂýÒÔ¼°Ðļ¡Ëõ¶ÌÁ¦Ï÷Èõ¡£Ö÷Òª»úÖÆÓë´Ì¼¤ÃÔ×ßÉñ¾¸É£¬ÆäÄ©ÉÒ¿ÉÊÍ·ÅÒÒõ£µ¨¼î(acetylcholine, ACh)Óйء£ACh¿É×÷ÓÃÓÚÐļ¡Ï¸°ûĤÉϵÄMÐÍÊÜÌ壬¼¤»îAChÃô¸ÐKͨµÀ(IKACh)£¬±ðµÄ£¬ACh»¹¿ÉÒÔÖ±½ÓÒÖÖÆIfÒÔ¼°¸ÆµçÁ÷¡£ñ¼·¿½áÖ÷Òª½ÓÊÜÓÒ²àÃÔ×ßÉñ¾Ö§Å䣬ÓÒ²àÃÔ×ßÉñ¾´Ì¼¤¶ÔÐÄÂʵÄÓ°Ïì½Ï×ó²à´Ì¼¤ÏÔ×Å¡£
¡¾ÔìÄ£ÒªÁì¡¿£º
¶¯ÎÈç´óÊó¡¢È®£©Âé×íºóÑöÎÔÀο¿ÓÚÊÖÊǫ̃ÉÏ£¬ÅþÁ¬Ðĵçͼ»ú¡£×ö¾±²¿ÕýÖÐÇпڣ¬¶ÛÐÔÊèÉ¢¾±¶¯ÂöÇÊ£¬ÓÎÀëË«²àÃÔ×ßÉñ¾¸É£¬ÓÃÁ½¶ÔǦ½ð´Ì¼¤µç¼«»®·Ö¹´ÔÚ×óÓÒÃÔ×ßÉñ¾¸ÉÉÏ£¬Æ¾Ö¤¶¯ÎïÖÖÊô¼°¾ÞϸÉèÖô̼¤²ÎÊý£¬Í¬Ê±Æ¾Ö¤Ðĵç¼ì²â¾ÙÐе÷½â¡£´óÊóµÄ´Ì¼¤²ÎÊý¿ÉÉèÖÃΪÂö¿í3ms£¬µçѹ5V£¬ÆµÂÊ60´Î£¯min£»³ÉÄêÈ®µÄ´Ì¼¤²ÎÊý¿ÉÉèÖÃΪÂö¿í2~4ms£¬µçѹ5~8V£¬ÆµÂÊ20~30´Î£¯min¡£
¡¾Ä£×ÓÌØµã¡¿£º
´Ì¼¤ÓÒ²àÃÔ×ßÉñ¾¿ÉÒýÆðÐÄÂʼõÂý£¬ÉõÖÁ¿Éµ¼ÖÂÐÄÔàÍ£²«£»µ«ÔÚÒ»Á¬´Ì¼¤Àú³ÌÖУ¬ÐÄÔཫÒÔ½ÏÂýµÄ½ÚÂɻָ´Ìø¶¯¡£´Ì¼¤×ó²àÃÔ×ßÉñ¾¶Ô·¿ÊÒ½ÓÈÀÇøµÄÓ°Ïì½Ï´ó£¬¿ÉÒýÆð·¿ÊÒ´«µ¼ËÙÂʼõÂý£»´Ì¼¤½Ïǿʱ¿ÉÒýÆð·¿ÊÒ´«µ¼×èÖÍ£»¸üÇ¿µÄ´Ì¼¤¿Éµ¼Ö·¿ÊÒ½ÓÈÀÇøµÄ´«µ¼ÍêÈ«×è¶Ï£¬¶ø´Ëʱñ¼·¿½á¹¦Ð§¿É²»ÊÜÓ°Ï죬ÐĵçͼÉÏÌåÏÖΪ¼ÍÂÉ·ºÆðµÄP²¨£¬µ«P²¨ÓëQRS²¨ÈºµÄ¼äÆÚÑÓÉì»òÎ޹أ¬»òÉõÖÁÔÚij¶ÎÐĵçͼÉÏδ¼ûQRS²¨¡£
¡¾Ä£×ÓÆÀ¹ÀºÍÓ¦Óá¿£º
¸ÃÒªÁì²Ù×÷Ïà¶ÔÈÝÒ×£¬¿É¿ØÐÔÇ¿£¬ÆÆ·ÑÉÙ£¬¾Þϸ¶¯Îï¾ùÊÊÓã¬ÓÈÆäÊÊÓÚ½¨ÉèÄ£×Óºó»¹ÐèÒªÎ¹Ñø½Ï³¤Ê±¼äµÄ¶¯Îï¡£
²Î¿¼ÎÄÏ×£º
1.Armour JA, Richer LP,Pag P,el al. Origin and pharrnacological response of atrial tachyarrhythmias induced by activation of mediastinal nerves in canines. Auton eurosci, 2005, 118 (1-2):68-78
2.Cheung PH,Pugsley MK,Walker MJ. Arrhythmia models in the rat. J Parmacol Toxicol Methods, 1993, 29 (4): 179-184
3.Di Diego JM, Anlzelevilch C. Ischemic ventricular arrhy Lhmias: experimental models and their clinical relevance. Heart Rhythm,2011,8(12):1963-1968
4.Hamlin RL. Animal models of ventricular arrhythmias. Pharmacol Ther, 2007, 113(2):276-295
5.Nishida K,Michael G,Dobrev D,el al. Animal models for atrial fibrillation: clinical insights and scientific oppo1tunilies. Europace,2010,12(2):160-172
6.Riley G, Syeda F, Kirchhof P, et al. An introduction lo murine models of alrial fihrillaLion. Front Physio1, 2012, 3: 296
7.Yong SL, Wang QK. Animal models for cardiac arrhytJ1mias. Methods Mo! Med,2006, 129: 127-148