Aono J, Takeda A, Ueda W, Hirakawa M
Department of Anesthesiology, Kochi Medical School, Nankoku.
Masui. 1990 May;39(5):588-91.
We performed ICG-test during surgery to study the effect of halothane on ICG excretion in humans. We also evaluated the effect of PGE1 on ICG excretion concomitantly used during halothane anesthesia. A significant decrease in ICG clearance occurred in the patients who received only halothane to reduce the systolic arterial pressure (SAP) to 70% of the preoperative value. The reduction in SAP induced by PGE1 together with halothane, however, did not decrease the ICG clearance rate. We conclude that halothane may decrease the hepatic blood flow, but PGE1 may neutralize the effect of halothane, and maintain the hepatic blood flow in man.
我们在手术期间进行了吲哚菁绿(ICG)试验,以研究氟烷对人体ICG排泄的影响。我们还同时评估了前列腺素E1(PGE1)对氟烷麻醉期间ICG排泄的影响。仅接受氟烷使收缩压(SAP)降至术前值的70%的患者,ICG清除率显著降低。然而,PGE1与氟烷一起引起的SAP降低并未降低ICG清除率。我们得出结论,氟烷可能会减少肝血流量,但PGE1可能会抵消氟烷的作用,并维持人体的肝血流量。