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氟烷导致肝血流减慢:血管造影表现

Slowing of hepatic blood flow by halothane: angiographic manifestations.

作者信息

Berger P E, Culham J A, Fitz C R, Harwood-Nash D C

出版信息

Radiology. 1976 Feb;118(2):303-6. doi: 10.1148/118.2.303.

DOI:10.1148/118.2.303
PMID:1250962
Abstract

Extreme slowing of hepatic arterial flow occurred in 2 children who had angiographic examination under general anethesia with halothane. The incidence of this striking angiographic "halothane effect" was 32%. It was thought to be caused by a specific increase in hepatic vasomotor tone at the arterial, sinusoidal or venous level. The functional significance of the effect is unclear and its role in the production of hepatic dysfunction or massive hepatic necrosis is conjectural. No untoward effects were noted in our patients.

摘要

在接受氟烷全身麻醉下进行血管造影检查的2名儿童中出现了肝动脉血流极度减慢的情况。这种显著的血管造影“氟烷效应”的发生率为32%。它被认为是由动脉、窦状隙或静脉水平的肝血管运动张力特异性增加所引起的。该效应的功能意义尚不清楚,其在肝功能障碍或大面积肝坏死发生过程中的作用也是推测性的。在我们的患者中未观察到不良影响。

相似文献

1
Slowing of hepatic blood flow by halothane: angiographic manifestations.氟烷导致肝血流减慢:血管造影表现
Radiology. 1976 Feb;118(2):303-6. doi: 10.1148/118.2.303.
2
Hepatic blood flow in phenobarbital-pretreated rats during halothane anesthesia and hypoxia.氟烷麻醉和缺氧期间苯巴比妥预处理大鼠的肝血流量。
Anesth Analg. 1981 May;60(5):306-9.
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The postoperative effects of halothane versus isoflurane on hepatic artery and portal vein blood flow in humans.氟烷与异氟烷对人体肝动脉和门静脉血流的术后影响。
Anesth Analg. 2003 Mar;96(3):740-745. doi: 10.1213/01.ANE.0000047888.55004.4B.
4
[Effect of isoflurane and halothane on hepatic arterial and portal venous blood circulation in man].[异氟烷和氟烷对人体肝动脉和门静脉血液循环的影响]
Ann Fr Anesth Reanim. 1989;8 Suppl:R139.
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The effect of enteral oxygen administration on the hepatic circulation during halothane anaesthesia: experimental investigations.
Br J Anaesth. 1975 Dec;47(12):1253-9. doi: 10.1093/bja/47.12.1253.
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Effect of halothane on arterial hepatic flow as reflected at coeliac angiography.氟烷对腹腔血管造影所反映的肝动脉血流的影响。
Pediatr Radiol. 1977 Mar 17;5(3):183-5. doi: 10.1007/BF00973989.
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Halothane-induced intrahepatic portovenous shunting reduces hepatic microvascular sinusoidal perfusion during contrast angiographic procedures.氟烷诱导的肝内门体分流在造影血管造影过程中会减少肝微血管窦状灌注。
J Vasc Interv Radiol. 1998 Mar-Apr;9(2):311-20. doi: 10.1016/s1051-0443(98)70274-x.
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Effect of increased concentrations of carbon dioxide during halothane anaesthesia on liver blood flow and hepatic oxygen consumption.氟烷麻醉期间二氧化碳浓度升高对肝血流量和肝脏氧耗的影响。
Br J Anaesth. 1983 Dec;55(12):1231-7. doi: 10.1093/bja/55.12.1231.
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The effect of enteral oxygen administration on the hepatic circulation during halothane anaesthesia: clinical observations.氟烷麻醉期间肠内给氧对肝循环的影响:临床观察
Br J Anaesth. 1975 Dec;47(12):1261-4. doi: 10.1093/bja/47.12.1261.
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Diminished hepatic arterial flow during halothane administration.氟烷给药期间肝动脉血流减少。
Anesthesiology. 1976 Nov;45(5):545-51. doi: 10.1097/00000542-197611000-00015.

引用本文的文献

1
Effect of halothane on arterial hepatic flow as reflected at coeliac angiography.氟烷对腹腔血管造影所反映的肝动脉血流的影响。
Pediatr Radiol. 1977 Mar 17;5(3):183-5. doi: 10.1007/BF00973989.