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[硝普钠联合抗精神病药物产生的控制性动脉低血压]

[Controlled arterial hypotension produced by nitroprusside combined with neuroleptics].

作者信息

Campan L, Bauvin M J, Clergue M L

出版信息

Ann Anesthesiol Fr. 1976;17(10):1125-32.

PMID:14564
Abstract

Ganglioplegic drugs, including trimetaphan, have been imperfect agents of arterial hypotension, liable to produce tachyphylaxis, and not blocking intercurrent attacks of adrenergic hypertension the dose is inconstant and reversibility sometimes doubtful. The association of neuroleptics, in particulier promazines, permits an appreciable economy in dosage, stabilises the curves of hypotension, with the disadvantage of blocking normalisation of blood pressure. Sodium nitroprusside does not have the disadvantage of ganglioplegic drugs. Although usable alone, the blood pressure graphs sometimes have a certain instability mainly due to the difficulty of regulating the ideal perfusion flow rate. The authors show that the association of neuroleptic drugs has here also an effect of economy of dosage and facilitates the rise in blood pressure. Verification of reinforcement of the effect of sodium nitroprusside by chlorpromazine, acepromazine and levomepromazine was carried out in the dog. The authors show significant graphs.

摘要

神经节阻断药,包括咪噻吩,一直是不理想的动脉低血压药物,容易产生快速耐受性,且不能阻断并发的肾上腺素能性高血压发作,剂量不稳定,有时可逆性也存疑。抗精神病药,尤其是丙嗪类药物的联合使用,可显著减少剂量,稳定低血压曲线,但存在阻碍血压恢复正常的缺点。硝普钠没有神经节阻断药的缺点。虽然可单独使用,但血压图有时会有一定的不稳定性,主要是由于难以调节理想的灌注流速。作者表明,抗精神病药物的联合使用在这里也有减少剂量的作用,并有助于血压升高。在狗身上进行了氯丙嗪、乙酰丙嗪和左美丙嗪增强硝普钠作用的验证。作者展示了显著的图表。

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