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长春西汀急性给药对正常及低氧血症状态下血液流变学、氧转运及局部循环的影响。体内研究

[The effects of the acute administration of vinburnine on blood rheology, oxygen transport and regional circulation under normal conditions and in hypoxemia. In vivo research].

作者信息

Domini L, Acciavatti A, Galigani C, Saletti M, De Franco V, Pecchi S, Auteri A, Di Perri T

机构信息

Istituto di Patologia speciale medica e Metodologia clinica, Università, Siena.

出版信息

Recenti Prog Med. 1990 Nov;81(11):716-23.

PMID:2287808
Abstract

Vinburnine has been shown to be effective in avoiding chronic ischaemic tissue injury. Many studies have demonstrated the antihypoxic and oxygenation properties of this drug. In our study we have evaluated in two groups of patients the effects on blood rheology, oxygen transport, regional circulation and ergospirometric data of 40 mg vinburnine infused in a systemic vein. We have selected in the first group 10 patients with low hemoglobin oxygen affinity (p50 28.6 +/- 1.37 mmHg), in the second one 7 patients with normal values (p50 26.6 +/- 0.84 mmHg). In the two groups of the study we evaluated nutritional blood flow by a plethysmographic method, blood gas analysis [correction of hemogasanalitic] parameters in arterial and venous blood, haemoglobin oxygen affinity expressed as p50 and erythrocytic 2,3-DPG, hemorheologic and ergospirometric parameters. Data were evaluated in basal conditions and at the end of the infusion. The improvement of rheological properties, hemodynamic and metabolic data in the two groups of the study seems to confirm the oxyphoretic properties of this drug.

摘要

长春宾已被证明在避免慢性缺血性组织损伤方面有效。许多研究已经证实了这种药物的抗缺氧和氧合特性。在我们的研究中,我们在两组患者中评估了经体静脉输注40毫克长春宾对血液流变学、氧运输、局部循环和运动肺量计数据的影响。我们在第一组中选择了10名血红蛋白氧亲和力低(p50为28.6±1.37毫米汞柱)的患者,在第二组中选择了7名数值正常(p50为26.6±0.84毫米汞柱)的患者。在研究的两组中,我们通过体积描记法评估营养性血流、动脉血和静脉血中的血气分析[血液气体分析校正]参数、以p50表示的血红蛋白氧亲和力和红细胞2,3 -二磷酸甘油酸、血液流变学和运动肺量计参数。在基础条件下和输注结束时对数据进行评估。研究两组中流变学特性、血流动力学和代谢数据的改善似乎证实了这种药物的携氧特性。

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