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双氢麦角毒碱影响下脑循环的血气分析研究(作者译)

[Blood gas analytical study on cerebral circulation under the influence of dihydroergotoxin (author's transl)].

作者信息

Liesegang J, Bock W J, Seibert H, Schumacher W

出版信息

Arzneimittelforschung. 1976;26(8):1619-212.

PMID:12773
Abstract

The demand for sufficient blood supply and oxygenation of cerebral tissue after brain surgery or severe head injuries requires the clinical investigation of drugs which are supposed to improve cerebral blood flow and metabolism. We have therefore used the hydrogenated derivatives of the ergotoxin components of the secale alcaloids in the post-operative and posttraumatic period of neurosurgical patients, respectively, and studied their effect on cerebral metabolism by successive analysis of blood gases in the arterial and venous blood. A significant increase of cerebral venous CO2-concentration following the administration of dihydroergotoxin in these patients in all probability is attributable to an improved O2-utilisation in the cerebral tissue.

摘要

脑外科手术或严重头部损伤后,为满足对充足血液供应和脑组织氧合的需求,需要对有望改善脑血流和代谢的药物进行临床研究。因此,我们分别在神经外科患者的术后和创伤后时期使用了黑麦生物碱麦角毒素成分的氢化衍生物,并通过连续分析动脉血和静脉血中的血气来研究它们对脑代谢的影响。在这些患者中,给予二氢麦角毒素后,脑静脉二氧化碳浓度显著升高,这很可能归因于脑组织中氧利用的改善。

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