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惊恐障碍患者输注D-乳酸钠。

Sodium D-lactate infusion of panic disorder patients.

作者信息

Gorman J M, Goetz R R, Dillon D, Liebowitz M R, Fyer A J, Davies S, Klein D F

机构信息

Biological Studies Unit, New York State Psychiatric Institute, NY.

出版信息

Neuropsychopharmacology. 1990 Jun;3(3):181-9.

PMID:2114119
Abstract

Nineteen patients with panic disorder received sodium D,L-lactate (racemic) and pure sodium D-lactate infusions in a pilot study. Sodium D-lactate, which is less metabolically active than L-lactate, produced panic attacks in half the patients. D-Lactate also produced hypocapnia and alkalosis, indicating hyperventilation. These findings suggest that metabolism of lactate is not necessary for the induction of panic in susceptible patients. D-Lactate appears similar to other agents that cause panic in its capacity to stimulate respiration in the preliminary study.

摘要

在一项初步研究中,19名惊恐障碍患者接受了D,L-乳酸钠(消旋体)和纯D-乳酸钠输注。D-乳酸钠的代谢活性低于L-乳酸,在一半的患者中引发了惊恐发作。D-乳酸还导致低碳酸血症和碱中毒,表明存在过度通气。这些发现表明,乳酸代谢对于易感患者惊恐发作的诱发并非必要。在这项初步研究中,D-乳酸在刺激呼吸的能力方面似乎与其他引发惊恐发作的药物相似。

相似文献

1
Sodium D-lactate infusion of panic disorder patients.惊恐障碍患者输注D-乳酸钠。
Neuropsychopharmacology. 1990 Jun;3(3):181-9.
2
A comparison of sodium bicarbonate and sodium lactate infusion in the induction of panic attacks.碳酸氢钠和乳酸钠输注诱发惊恐发作的比较。
Arch Gen Psychiatry. 1989 Feb;46(2):145-50. doi: 10.1001/archpsyc.1989.01810020047008.
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Possible mechanisms for lactate's induction of panic.
Am J Psychiatry. 1986 Apr;143(4):495-502. doi: 10.1176/ajp.143.4.495.
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Lactate infusions and panic attacks: do patients and controls respond differently?
Psychiatry Res. 1986 Apr;17(4):295-308. doi: 10.1016/0165-1781(86)90077-6.
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Blood gas changes and hypophosphatemia in lactate-induced panic.乳酸诱发惊恐发作时的血气变化与低磷血症
Arch Gen Psychiatry. 1986 Nov;43(11):1067-71. doi: 10.1001/archpsyc.1986.01800110053007.
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Response to hyperventilation in a group of patients with panic disorder.一组惊恐障碍患者对过度通气的反应。
Am J Psychiatry. 1984 Jul;141(7):857-61. doi: 10.1176/ajp.141.7.857.
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Specificity of lactate infusions in social phobia versus panic disorders.社交恐惧症与惊恐障碍中乳酸输注的特异性
Am J Psychiatry. 1985 Aug;142(8):947-50. doi: 10.1176/ajp.142.8.947.
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Sodium lactate infusion, panic attacks, and ionized calcium.
Biol Psychiatry. 1984 Oct;19(10):1437-47.
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Lactate provocation of panic attacks. II. Biochemical and physiological findings.
Arch Gen Psychiatry. 1985 Jul;42(7):709-19. doi: 10.1001/archpsyc.1985.01790300077010.
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Lactate infusions: the role of baseline anxiety.
Psychiatry Res. 1987 Jun;21(2):169-79. doi: 10.1016/0165-1781(87)90074-6.

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