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多次服用伪麻黄碱对正常受试者和嗜铬细胞瘤患者血压及血浆儿茶酚胺的影响。

Effects of repeated doses of pseudoephedrine on blood pressure and plasma catecholamines in normal subjects and in patients with phaeochromocytoma.

作者信息

Gordon R D, Ballantine D M, Bachmann A W

机构信息

University of Queensland Department of Medicine, Greenslopes Hospital, Brisbane, Australia.

出版信息

Clin Exp Pharmacol Physiol. 1992 May;19(5):287-90. doi: 10.1111/j.1440-1681.1992.tb00453.x.

DOI:10.1111/j.1440-1681.1992.tb00453.x
PMID:1521358
Abstract
  1. Increases in blood pressure (BP) and in plasma noradrenaline concentration (NA) were observed after two doses of a non-prescription decongestant containing pseudoephedrine (PE) in two of three patients with phaeochromocytoma, before but not after removal of the tumour. The pressor response was terminated by oral phenoxybenzamine, and modified by prior exposure to this drug. 2. In eight normal subjects administration of the same two doses prevented falls in BP and in NA usually seen with prolonged recumbency, but neither BP nor NA increased. However, a pressor response was observed in a normal subject with a strong family history of hypertension. 3. Exposure to PE in non-prescription decongestants is not without risk in hypertension.
摘要
  1. 在3例嗜铬细胞瘤患者中,有2例在切除肿瘤前给予两剂含伪麻黄碱(PE)的非处方减充血剂后,观察到血压(BP)和血浆去甲肾上腺素浓度(NA)升高,而切除肿瘤后则未出现这种情况。升压反应可通过口服酚苄明终止,并可因事先使用该药而减轻。2. 在8名正常受试者中,给予相同的两剂药物可防止通常因长时间卧床而出现的BP和NA下降,但BP和NA均未升高。然而,在一名有强烈高血压家族史的正常受试者中观察到了升压反应。3. 非处方减充血剂中的PE暴露在高血压患者中并非没有风险。

相似文献

1
Effects of repeated doses of pseudoephedrine on blood pressure and plasma catecholamines in normal subjects and in patients with phaeochromocytoma.多次服用伪麻黄碱对正常受试者和嗜铬细胞瘤患者血压及血浆儿茶酚胺的影响。
Clin Exp Pharmacol Physiol. 1992 May;19(5):287-90. doi: 10.1111/j.1440-1681.1992.tb00453.x.
2
Plasma noradrenaline concentration and blood pressure in essential hypertension, phaeochromocytoma and depression.
Clin Sci Mol Med Suppl. 1975 Jun;2:239s-242s. doi: 10.1042/cs048239s.
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Pressor response to norepinephrine infusion in patients with pheochromocytoma.嗜铬细胞瘤患者对去甲肾上腺素输注的升压反应。
Hiroshima J Med Sci. 1983 Sep;32(3):355-8.
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Sulphate conjugation limits fluctuations in free catecholamines in phaeochromocytoma.硫酸盐结合作用限制了嗜铬细胞瘤中游离儿茶酚胺的波动。
J Hypertens. 1985 Dec;3(6):649-52. doi: 10.1097/00004872-198512000-00012.
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Phaeochromocytoma: intraoperative changes in blood pressure and plasma catecholamines.嗜铬细胞瘤:术中血压及血浆儿茶酚胺的变化
Clin Auton Res. 1994 Aug;4(4):167-73. doi: 10.1007/BF01826182.
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Increase in blood pressure in pheochromocytoma induced by domperidone and metoclopramide.多潘立酮和甲氧氯普胺诱发嗜铬细胞瘤患者血压升高。
Tohoku J Exp Med. 1985 Jun;146(2):149-52. doi: 10.1620/tjem.146.149.
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[Arterial pressure and plasma catecholamines after metoclopramide administration in normal and hypertensive subjects].
Boll Soc Ital Cardiol. 1977;22(8):1421-6.
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Impairment of baroreceptor reflex in patients with phaeochromocytoma.嗜铬细胞瘤患者压力感受器反射受损。
J Hum Hypertens. 1992 Feb;6(1):77-8.
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Laparoscopic adrenalectomy for phaeochromocytoma: endocrinological and surgical aspects of a new therapeutic approach.腹腔镜肾上腺切除术治疗嗜铬细胞瘤:一种新治疗方法的内分泌学和外科学方面
Clin Endocrinol (Oxf). 1999 Jan;50(1):121-5. doi: 10.1046/j.1365-2265.1999.00628.x.
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Arterial pressure and hormone relationships in phaeochromocytoma.
J Hypertens. 1983 Dec;1(4):373-9. doi: 10.1097/00004872-198312000-00009.

引用本文的文献

1
[Basal tako-tsubo cardiomyopathy. Induction of a pheochromocytoma after general anesthesia].[基础型应激性心肌病。全身麻醉后诱发嗜铬细胞瘤]
Anaesthesist. 2008 Feb;57(2):143-6. doi: 10.1007/s00101-007-1289-3.
2
Adverse drug reactions in patients with phaeochromocytoma: incidence, prevention and management.嗜铬细胞瘤患者的药物不良反应:发生率、预防及管理
Drug Saf. 2007;30(11):1031-62. doi: 10.2165/00002018-200730110-00004.