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[自主神经张力变化对琥珀酰胆碱血压效应的影响(实验数据)]

[Influence of changes in the vegetative tonus on the effects of succinylcholine on blood pressure (experimental data)].

作者信息

Teodorescu-Exarcu I, Tica A, Georgescu D

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Mar-Apr;25(2):143-51.

PMID:133395
Abstract

Intravenous administration of small amounts (0,1 mg/kg of body weight) of succinyl-choline in dogs results in the increase of blood pressure through nicotine-like effects. The increase of succinyl-choline doses induces at first a lowering of the blood pressure through a muscarine-like effect, then its increase. Atropinization, as well as prealable vagotomy, prevents the lowering of the blood pressure but increases it through a nicotine-like effect. Neomistigmine increases both the nicotinic and the cholinergic (muscarinic) effects of succinyl-choline. The use of alpha-sympatico-mimetic drugs, followed by administration of succinyl-choline, generates hypertension and conjugation of alpha-sympatico-mimetic drugs with lepto-currarine induces hypotension, even when para-sympatic lysis has been performed in advance. Inhibition of the beta-sympatic components, followed by inhibition of the alpha-sympatic ones, prevents the development of the succinyl-cholinic hypotension. These facts indicate that the action of succinyl-choline on the blood pressure depends, to a considerable extent, on the condition of the central nervous system.

摘要

给狗静脉注射少量(0.1毫克/千克体重)的琥珀酰胆碱会通过类似尼古丁的作用导致血压升高。琥珀酰胆碱剂量增加首先会通过类似毒蕈碱的作用使血压降低,随后又使其升高。阿托品化以及预先进行迷走神经切断术可防止血压降低,但会通过类似尼古丁的作用使血压升高。新斯的明会增强琥珀酰胆碱的烟碱样和胆碱能(毒蕈碱样)作用。先使用α-拟交感神经药物,然后给予琥珀酰胆碱,会引发高血压,而α-拟交感神经药物与筒箭毒碱结合会导致低血压,即使事先已进行副交感神经麻痹。抑制β-交感神经成分,随后抑制α-交感神经成分,可防止琥珀酰胆碱引起的低血压的发生。这些事实表明,琥珀酰胆碱对血压的作用在很大程度上取决于中枢神经系统的状态。

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