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静脉注射劳拉西泮和RO 21 - 3981后静脉的组织病理学

Histopathology of veins after intravenous lorazepam and RO 21-3981.

作者信息

Pagano R R, Graham C W, Galligan M, Conner J T, Katz R L

出版信息

Can Anaesth Soc J. 1978 Jan;25(1):50-2. doi: 10.1007/BF03006784.

DOI:10.1007/BF03006784
PMID:23892
Abstract

A previously established rat model has been utilized to demonstrate that an acute inflammatory response occurs after high intravenous doses of lorazepam. This occurs only with high concentrations of drug equivalent to 20 times the normal clinical dosage in man. In contract, water soluble RO 21-3981 produces no vascular pathology in any dosage evaluated. It appears that propylene glycol may play a role in the pathogenesis of the intravascular injury observed.

摘要

先前建立的大鼠模型已被用于证明,静脉注射高剂量劳拉西泮后会发生急性炎症反应。这种情况仅在药物浓度高至相当于人类正常临床剂量20倍时才会出现。相比之下,水溶性RO 21-3981在任何评估剂量下均未产生血管病变。看来丙二醇可能在观察到的血管内损伤发病机制中起作用。

相似文献

1
Histopathology of veins after intravenous lorazepam and RO 21-3981.静脉注射劳拉西泮和RO 21 - 3981后静脉的组织病理学
Can Anaesth Soc J. 1978 Jan;25(1):50-2. doi: 10.1007/BF03006784.
2
Sequelae after the intravenous injection of three benzodiazepines--diazepam, lorazepam, and flunitrazepam.静脉注射三种苯二氮䓬类药物(地西泮、劳拉西泮和氟硝西泮)后的后遗症。
Br Med J. 1977 Nov 26;2(6099):1384-5. doi: 10.1136/bmj.2.6099.1384.
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Acute tubular necrosis associated with propylene glycol from concomitant administration of intravenous lorazepam and trimethoprim-sulfamethoxazole.因同时静脉注射劳拉西泮和甲氧苄啶-磺胺甲恶唑导致丙二醇相关的急性肾小管坏死。
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Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam.与劳拉西泮相关的急性肾损伤、高渗血症和代谢性酸中毒。
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Pain and clinical thrombophlebitis following intravenous diazepam and lorazepam.静脉注射地西泮和劳拉西泮后的疼痛及临床血栓性静脉炎。
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引用本文的文献

1
Incidence of thrombophlebitis in humans with the diazepam vehicle.使用地西泮溶媒的人群中血栓性静脉炎的发生率。
Anesth Prog. 1982 Nov-Dec;29(6):168-9.
2
Cardiovascular effects of midazolam and thiopentone for induction of anaesthesia in ill surgical patients.咪达唑仑和硫喷妥钠用于外科重症患者麻醉诱导的心血管效应
Can Anaesth Soc J. 1983 Jan;30(1):19-23. doi: 10.1007/BF03007711.
3
Midazolam. A review of its pharmacological properties and therapeutic use.咪达唑仑。对其药理特性及治疗用途的综述。

本文引用的文献

1
Thrombophlebitis with diazepam used intravenously.静脉使用地西泮导致的血栓性静脉炎。
JAMA. 1973 Jan 8;223(2):184-5.
2
Pathogenesis of gangrene following intra-arterial injection of drugs: a new hypothesis.动脉内注射药物后坏疽的发病机制:一种新假说。
Can Anaesth Soc J. 1975 Nov;22(6):637-46. doi: 10.1007/BF03013310.
3
Thrombophlebitis after intravenous diazepam--can it be prevented?
Anesth Analg. 1977 May-Jun;56(3):409-13. doi: 10.1213/00000539-197705000-00020.
Drugs. 1984 Dec;28(6):519-43. doi: 10.2165/00003495-198428060-00002.
4
Midazolam: review of a versatile agent for use in dentistry.咪达唑仑:一种用于牙科的多功能药物综述。
Anesth Prog. 1987 Sep-Oct;34(5):164-70.
5
Use of midazolam for percutaneous liver biopsy.
Dig Dis Sci. 1989 Oct;34(10):1553-8. doi: 10.1007/BF01537109.
6
Midazolam compared with thiopentone as a hypnotic component in balanced anaesthesia: a randomized, double-blind study.
Can Anaesth Soc J. 1979 Jan;26(1):42-9. doi: 10.1007/BF03039453.