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[速尿在成人心脏手术中的价值]

[Value of Soludactone in cardiac surgery in adults].

作者信息

Fogliani J, Capuccio P, Goudard A, Guillen J C, Monties J R

出版信息

Ann Anesthesiol Fr. 1975 May-Jun;16(3):189-96.

PMID:241276
Abstract

The use of potassium canrenoate (Soludactone) in the post-operative period in 31 patients who had undergone open-heart surgery, in comparison with a control batch of patients, led to a more rapid and easier regression of myocardial hyperexcitability, the maintenance of kaliemia at values near normal, a reduction in kaliuresis, a rapid elevation of the urinary Na/K ratio and the maintenance of satisfactory diuresis. But the majority of these effects appear progressively during the first 3 days of treatment, so potassium canrenoate should be prescribed 3 days before the intervention so that the beneficial effects may be manifested from the day of the intervention itself.

摘要

对31例接受心脏直视手术的患者在术后使用坎利酸钾(索体舒通),并与对照组患者进行比较,结果显示,心肌过度兴奋的消退更快、更顺利,血钾水平维持在接近正常的值,尿钾排泄减少,尿钠/钾比值迅速升高,且利尿效果良好。但这些效果大多在治疗的前3天逐渐显现,因此坎利酸钾应在干预前3天给药,以便从干预当天就能显现出有益效果。

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1
[Value of Soludactone in cardiac surgery in adults].[速尿在成人心脏手术中的价值]
Ann Anesthesiol Fr. 1975 May-Jun;16(3):189-96.
2
[Use of potassium canrenoate in cardiosurgery].[安体舒通在心脏外科手术中的应用]
Minerva Anestesiol. 1981 Apr;47(4):149-54.
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[Evaluation of K-canrenoate in post-surgical treatment of open heart paediatric surgery (author's transl)].坎利酮酸钾在小儿心脏直视手术后治疗中的评估(作者译)
G Ital Cardiol. 1980;10(9):1148-55.
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[Therapeutic effect of canrenoate potassium (soldactone) in patients after open-heart surgery].[坎利酸钾(索体舒通)对心脏直视手术后患者的治疗作用]
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[Value of potassium canrenoate in the prevention of arrhythmia during the acute phase of myocardial infarction].[安体舒通钾在预防心肌梗死急性期心律失常中的价值]
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[Extrarenal effects of potassium-canrenoate. Haemodynamic investigations during neuroleptanalgesia in cardiosurgical patients (author's transl)].[安体舒通钾的肾外作用。心脏手术患者神经安定镇痛期间的血流动力学研究(作者译)]
Anaesthesist. 1979 Apr;28(4):163-70.
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[Clinical experience in the use of Osyrol 100 and Osyrol for injection (author's transl)].奥昔罗尔100及注射用奥昔罗尔的临床应用经验(作者译)
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Med Interne. 1977 Jan-Mar;15(1):27-34.
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Severe electrolyte disorders following cardiac surgery: a prospective controlled observational study.心脏手术后的严重电解质紊乱:一项前瞻性对照观察研究。
Crit Care. 2004 Dec;8(6):R459-66. doi: 10.1186/cc2973. Epub 2004 Oct 22.