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低剂量静脉胰岛素输注的载体溶液。

Carrier solutions for low-level intravenous insulin infusion.

作者信息

Kraegen E W, Lazarus L, Meler H, Campbell L, Chia Y O

出版信息

Br Med J. 1975 Aug 23;3(5981):464-6. doi: 10.1136/bmj.3.5981.464.

DOI:10.1136/bmj.3.5981.464
PMID:1156820
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1674251/
Abstract

In the use of low-level intravenous insulin infusion for treating diabetic hyperglycaemia and ketoacidosis adsorption of insulin to containers or plastic infusion apparatus results in significant losses of 60-80% of insulin in dilute physiological saline solution (40 U/l). It is therefore necessary to add protein to the carrier solution to minimize losses and maintain a constant delivery rate. Recovery studies showed that 3.5% w/v polygeline solution (polymer of degraded gelatin) was a suitable medium for this purpose, offering some advantages over human serum albumin. A minimum concentration of 0.5% polygeline was required to ensure adequate delivery of insulin to the patient.

摘要

在使用低剂量静脉胰岛素输注治疗糖尿病高血糖症和酮症酸中毒时,胰岛素会吸附在容器或塑料输注装置上,导致在稀生理盐溶液(40 U/l)中60 - 80%的胰岛素显著损失。因此,有必要在载体溶液中添加蛋白质,以尽量减少损失并维持恒定的输注速率。回收率研究表明,3.5% w/v的聚明胶肽溶液(降解明胶聚合物)是实现此目的的合适介质,比人血清白蛋白具有一些优势。需要至少0.5%的聚明胶肽浓度,以确保向患者充分输送胰岛素。

相似文献

1
Carrier solutions for low-level intravenous insulin infusion.低剂量静脉胰岛素输注的载体溶液。
Br Med J. 1975 Aug 23;3(5981):464-6. doi: 10.1136/bmj.3.5981.464.
2
[Low dosage continuous flow intravenous insuline therapy in the treatment of diabetic coma].
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Dev Biol Stand. 1987;67:129-31.
6
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本文引用的文献

1
The adsorption of I131-insulin to glass.I131胰岛素对玻璃的吸附作用。
Endocrinology. 1959 Sep;65:515-7. doi: 10.1210/endo-65-3-515.
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Carbohydrate metabolism in pregnancy. I. The metabolism of insulin by human placental tissue.孕期碳水化合物代谢。I. 人胎盘组织对胰岛素的代谢
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Prevention of insulin-I-131 adsorption to glass.防止胰岛素-I-131吸附到玻璃上。
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Simultaneous assay of insulin and glucagon in serum.
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Adsorption of insulin to infusion bottles and tubing.胰岛素在输液瓶和输液管上的吸附作用。
Diabetes. 1968 Dec;17(12):766-71. doi: 10.2337/diab.17.12.766.
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Insulin adsorption by glass infusion bottles, polyvinylchloride infusion containers, and intravenous tubing.
Anesthesiology. 1974 Apr;40(4):400-4. doi: 10.1097/00000542-197404000-00018.
7
Treatment of severe diabetes mellitus by insulin infusion.胰岛素输注治疗重度糖尿病
Br Med J. 1974 Jun 29;2(5921):691-4. doi: 10.1136/bmj.2.5921.691.
8
Continuous intravenous infusion of small doses of insulin in treatment of diabetic ketoacidosis.小剂量胰岛素持续静脉输注治疗糖尿病酮症酸中毒。
Br Med J. 1974 Jun 29;2(5921):694-8. doi: 10.1136/bmj.2.5921.694.