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[经皮硝酸甘油在婴幼儿中的有效性与毒性的批判性研究]

[Critical study of efficiency and toxicity of transcutaneous trinitrin in infants and children].

作者信息

Lenoir P, Segers M, Ramet J

机构信息

Soins intensifs pédiatriques AZ-Vrije, Universiteit Brussel, Belgique.

出版信息

Pediatrie. 1990;45(7-8):515-7.

PMID:2170930
Abstract

The local effects of transcutaneous application of trinitrine in order to facilitate access to the peripheral veins, were evaluated in a double blind study of 23 infants aged 3 weeks to 10 years. The results were extremely discouraging. Indeed, no relationship between the venous distension and the local trinitrine concentration was observed. Despite the use of various concentrations, no patient presented local or haemodynamic changes. The application of a percutaneous dose of trinitrine at the site of puncture seems to be an inefficient method to facilitate access to the peripheral veins in the pediatric age group.

摘要

为便于外周静脉穿刺,对23例年龄在3周至10岁的婴儿进行了一项双盲研究,评估了经皮应用三硝酸甘油的局部效应。结果非常令人沮丧。事实上,未观察到静脉扩张与局部三硝酸甘油浓度之间的关系。尽管使用了不同浓度,但没有患者出现局部或血流动力学变化。在穿刺部位经皮给予三硝酸甘油似乎是一种在儿童年龄组中便于外周静脉穿刺的低效方法。

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