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唐氏综合征患者可根据胆碱能功能障碍来鉴别。

People with Down's syndrome can be distinguished on the basis of cholinergic dysfunction.

作者信息

Sacks B, Smith S

机构信息

Department of Psychiatry, Charing Cross and Westminster Medical School, London.

出版信息

J Neurol Neurosurg Psychiatry. 1989 Nov;52(11):1294-5. doi: 10.1136/jnnp.52.11.1294.

Abstract

The mydriatic response to eyedrops of the anticholinergic agent tropicamide at very low concentration (0.01%) has been studied in people with Down's syndrome. By comparison with healthy subjects people with Down's syndrome had responses approximately three times greater, suggesting a peripheral imbalance between cholinergic and adrenergic autonomic influences.

摘要

对唐氏综合征患者使用极低浓度(0.01%)的抗胆碱能药物托吡卡胺滴眼液后的散瞳反应进行了研究。与健康受试者相比,唐氏综合征患者的反应大约大三倍,这表明胆碱能和肾上腺素能自主神经影响之间存在外周失衡。

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本文引用的文献

1
Atropine in mongolism.阿托品与唐氏综合征
Lancet. 1959 Sep 26;2(7100):441-2. doi: 10.1016/s0140-6736(59)90423-4.
2
Atropine response of the eyes in mongolism.蒙古症患者眼睛的阿托品反应。
Am J Dis Child. 1960 Dec;100:869-72. doi: 10.1001/archpedi.1960.04020040871010.
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Atropine sensitivity and serotonin in mongolism.蒙古症中的阿托品敏感性与血清素
Am J Dis Child. 1960 Dec;100:873-4. doi: 10.1001/archpedi.1960.04020040875012.
4
Presynaptic cholinergic dysfunction in patients with dementia.痴呆患者的突触前胆碱能功能障碍。
J Neurochem. 1983 Feb;40(2):503-9. doi: 10.1111/j.1471-4159.1983.tb11311.x.
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Hyper-reactivity to atropine in Down's syndrome.唐氏综合征患者对阿托品的高反应性。
N Engl J Med. 1968 Aug 22;279(8):407-10. doi: 10.1056/NEJM196808222790805.

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