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各种麻醉剂对人体的心血管影响。四种短效静脉麻醉剂:阿法沙龙、依托咪酯、美索比妥和丙泮尼地。

Cardiovascular effects of various anesthetics in man. Four short-acting intravenous anesthetics: althesin, etomidate, methohexital and propanidid.

作者信息

Lamalle D

出版信息

Acta Anaesthesiol Belg. 1976;27 suppl:208-24.

PMID:1015221
Abstract

Four groups of 15 patients without any cardiovascular or pulmonary pathology received an intravenous injection of one of the 4 studied anesthetics, Althesin (0.07 ml/kg), Methohexital (1.6 mg/kg), Etomidate 0.15 mg/kg) or Propanidid (6 mg/kg). Arterial pressure, heart rate, stroke volume and cardiac output were measured every thirty or sixty seconds. Stroke volume decreased and heart rate increased with all of them, but most of all with Propanidid. The only statistically significant reduction of cardiac output was observed with Althesin. Arterial pressures did not vary. Under the conditions of the present study and at the dose levels mentioned, Etomidate produced the least changes in cardiac parameters.

摘要

四组各15名无任何心血管或肺部病变的患者接受了静脉注射4种研究麻醉剂中的一种,分别是阿法沙龙(0.07毫升/千克)、美索比妥(1.6毫克/千克)、依托咪酯(0.15毫克/千克)或丙泮尼地(6毫克/千克)。每隔30或60秒测量动脉压、心率、每搏量和心输出量。使用所有这些麻醉剂后每搏量均下降且心率上升,但丙泮尼地最为明显。仅观察到阿法沙龙使心输出量有统计学意义的降低。动脉压无变化。在本研究条件及上述剂量水平下,依托咪酯对心脏参数产生的变化最小。

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