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[Obsidan治疗大面积心肌梗死患者的神经内分泌紊乱和多动综合征]

[Obsidan treatment of neuroendocrine disorders and hyperkinetic syndrome in patients with macrofocal myocardial infarction].

作者信息

Simerzin V V

出版信息

Klin Med (Mosk). 1989 Jan;67(1):84-7.

PMID:2654467
Abstract

The trend in blood plasma adrenaline, noradrenaline, renin and parameters of central hemodynamics were studied in randomized sample of 67 patients with uncomplicated macrofocal myocardial infarction with a hyperkinetic syndrome. To 32 patients obsidan was administered intravenously (0.1 mg/kg), then orally for 2-3 days every 3-4 hours to lessen cardiac contraction rate by 20-30 per cent and to obtain moderate hypotension and after than 60-120 mg per 24 hours. The traditional treatment was prescribed to 35 patients of the control group. The acute period of the disease was marked by increased concentrations of catecholamines and renin and a close correlation between them and the central hemodynamic parameters. Use of obsidan led to a more rapid reduction and normalization of the content of biologically active substances, central hemodynamic parameters and to the removal of their correlation. The mechanisms of obsidan action are discussed.

摘要

对67例患有高动力综合征的单纯性大灶性心肌梗死患者的随机样本,研究了血浆肾上腺素、去甲肾上腺素、肾素及中心血流动力学参数的变化趋势。对32例患者静脉注射奥昔旦(0.1mg/kg),然后每3 - 4小时口服2 - 3天,以使心脏收缩率降低20 - 30%,获得中度低血压,之后每24小时服用60 - 120mg。对照组35例患者采用传统治疗方法。疾病急性期的特点是儿茶酚胺和肾素浓度升高,且它们与中心血流动力学参数密切相关。使用奥昔旦可使生物活性物质含量、中心血流动力学参数更快降低并恢复正常,并消除它们之间的相关性。文中讨论了奥昔旦的作用机制。

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