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山莨菪碱作为一种治疗蛇咬伤的有效药物。

Anisodamine as an effective drug to treat snakebites.

作者信息

Li Q B, Pan R, Wang G F, Tang S X

机构信息

Emergency Department of the 1st Affiliated Hospital, Guangxi Medical University, Nanning, P. R. China.

出版信息

J Nat Toxins. 1999 Oct;8(3):327-30.

Abstract

Anisodamine is a natural alkaloid drug isolated from the plant Anisodus tanguticus growing in western China. The chemical structure and pharmacological action are just like the cholinergic receptor blocking agents atropine or scopolamine. The specific characteristic of the drug is being able to relieve the dangerous situation of microcirculatory failure, especially in case of DIC or renal failure. The prognosis of the patients will be quite good. Another characteristic of the drug is that no serious toxic reaction occurs even in successive doses given intravenously up to 500 mg a day. This is about fifty times greater than a common dose of 10 mg. Since we begin with the drug as a routine medication for the symptomatic treatment of renal failure, DIC bleeding, and microcirculatory failure, we should say that the specific antivenin and anisodamine are two treasure drugs for snakebites.

摘要

山莨菪碱是从生长于中国西部的唐古特山莨菪植物中分离出的一种天然生物碱药物。其化学结构和药理作用与胆碱能受体阻断剂阿托品或东莨菪碱相似。该药物的独特之处在于能够缓解微循环衰竭的危急状况,尤其是在弥散性血管内凝血(DIC)或肾衰竭的情况下。患者的预后会相当良好。该药物的另一个特点是,即使每天静脉连续给药高达500毫克,也不会出现严重的毒性反应。这大约是常用剂量10毫克的五十倍。自从我们开始将该药物作为治疗肾衰竭、DIC出血和微循环衰竭症状的常规药物以来,我们可以说特效抗蛇毒血清和山莨菪碱是治疗蛇咬伤的两种珍贵药物。

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