Prosvetov Iu V
Probl Tuberk. 1989(10):46-9.
The results of the study on urine excretion of catecholamines such as adrenaline, noradrenaline, dopamine and their precursor DOPA in 59 patients with active tuberculosis of the lung and varying tolerance of the chemotherapeutics are presented. After adverse reactions have developed to the drugs, there are changes in monoamine excretion, which remained for long periods after elimination of clinical signs of intoxication. The changes were indicative of overstrain of the sympathetic-adrenal system which might be the cause of drug intolerance relapsing after a new start of the chemotherapy. Such patients should be registered in risk groups. They require long-term nonspecific hyposensitization.
本文介绍了对59例活动性肺结核患者以及对化疗耐受性不同的患者,进行肾上腺素、去甲肾上腺素、多巴胺及其前体多巴等儿茶酚胺类物质尿排泄情况的研究结果。在对药物出现不良反应后,单胺排泄会发生变化,在中毒临床症状消除后,这种变化仍会持续很长时间。这些变化表明交感-肾上腺系统过度紧张,这可能是化疗重新开始后药物不耐受复发的原因。这类患者应被列入风险组。他们需要长期进行非特异性脱敏治疗。