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[依托咪酯对通气和血气的影响]

[Effects of Etomidate on ventilation and blood gases].

作者信息

Rifat K, Gamulin Z, Gemperlé M

出版信息

Ann Anesthesiol Fr. 1976;17(11):1217-22.

PMID:15476
Abstract

17 surgical patients, agent 49 to 87, are studied. Their anaesthetic induction was performed by an intravenous injection of Etomidate on a 0,23 mg/kg body weight basiis. Respiratory frequency and minute ventilation were put on continuous recording, PO2, PCO2 and arterial blood pH were measured 1,3 and 5 minutes after injection of the drug. Anaesthetic induction, occuring 10 seconds after injection of the drug, was followed by an increase in respiratory frequency (32 p 100) and a rather modest increase of minute ventilation (9,2 p. 100). Among blood gases measurements, only PaO2 showed a decrease of 6,7 p. 100, when PO2 and pH remained practically unchanged. The small increase in minute ventilation, compared with a relatively important increase in respiratory frequency, suggests some decrease in efficient alveolar ventilation without however affecting blood gases in an important fashion.

摘要

对17名手术患者(编号49至87)进行了研究。他们的麻醉诱导通过静脉注射依托咪酯进行,剂量为0.23毫克/千克体重。对呼吸频率和分钟通气量进行连续记录,在注射药物后1分钟、3分钟和5分钟测量动脉血氧分压(PO2)、二氧化碳分压(PCO2)和动脉血pH值。药物注射后10秒出现麻醉诱导,随后呼吸频率增加(增加32%),分钟通气量有一定程度的增加(增加9.2%)。在血气测量中,只有动脉血氧分压下降了6.7%,而氧分压和pH值基本保持不变。与呼吸频率相对较大的增加相比,分钟通气量的小幅增加表明有效肺泡通气有所下降,但并未对血气产生重大影响。

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