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雷尼替丁对通过器官反射分光光度计和脉冲多普勒超声流量计评估的肝血流量的影响。

Influence of ranitidine on hepatic blood flow assessed by organ-reflectance spectrophotometer and pulse-Doppler ultrasonic flowmeter.

作者信息

Sasaki Y, Hayashi N, Kasahara A, Matsuda Y, Furusawa S, Fusamoto H, Sato N, Kamada T

出版信息

Dig Dis Sci. 1985 Nov;30(11):1043-8. doi: 10.1007/BF01315601.

DOI:10.1007/BF01315601
PMID:2932322
Abstract

The influence of the intravenous injection of ranitidine (50 mg) on hepatic hemodynamics was investigated in normal subjects and patients with chronic liver disease. Using the organ-reflectance spectrophotometer, the regional hepatic blood hemoglobin concentration (delta Er569-650), an indicator of the regional hepatic blood flow, and the oxygen saturation of hemoglobin in the regional hepatic tissue (So2) were measured in patients with chronic liver disease after ranitidine injection under peritoneoscopy. With the pulse-Doppler ultrasonic flowmeter, the portal blood flow was measured in patients with chronic liver disease and normal subjects. There were no significant changes in the regional hepatic blood flow, the oxygen saturation of hemoglobin, and the portal blood flow after the intravenous injection of ranitidine. Thus, it is concluded that usual dose of ranitidine has no significant influence on the hepatic blood flow and that it can be prescribed without reducing the hepatic blood flow.

摘要

在正常受试者和慢性肝病患者中研究了静脉注射雷尼替丁(50毫克)对肝脏血流动力学的影响。使用器官反射分光光度计,在腹腔镜检查下对慢性肝病患者注射雷尼替丁后,测量局部肝血流的指标——局部肝血血红蛋白浓度(δEr569 - 650)以及局部肝组织中血红蛋白的氧饱和度(So2)。使用脉冲多普勒超声流量计,测量慢性肝病患者和正常受试者的门静脉血流。静脉注射雷尼替丁后,局部肝血流、血红蛋白氧饱和度和门静脉血流均无显著变化。因此,得出结论:常规剂量的雷尼替丁对肝血流无显著影响,可在不减少肝血流的情况下开具处方。

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Influence of ranitidine on hepatic blood flow assessed by organ-reflectance spectrophotometer and pulse-Doppler ultrasonic flowmeter.雷尼替丁对通过器官反射分光光度计和脉冲多普勒超声流量计评估的肝血流量的影响。
Dig Dis Sci. 1985 Nov;30(11):1043-8. doi: 10.1007/BF01315601.
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Haematological adverse effects of histamine H2-receptor antagonists.

本文引用的文献

1
Direct measurement of hepatic blood flow in surgical patients: with related observations on hepatic flow dynamics in experimental animals.外科患者肝血流量的直接测量:以及对实验动物肝血流动力学的相关观察。
Ann Surg. 1962 Sep;156(3):463-71. doi: 10.1097/00000658-196209000-00013.
2
Determination of the hepatic arterial blood flow and oxygen supply in man by clamping the hepatic artery during surgery.通过手术中钳夹肝动脉来测定人体肝动脉血流量和氧气供应。
J Clin Invest. 1962 Mar;41(3):447-54. doi: 10.1172/JCI104497.
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Reduction of liver blood flow and propranolol metabolism by cimetidine.
组胺H2受体拮抗剂的血液学不良反应。
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4
Adverse reactions and interactions with H2-receptor antagonists.H2受体拮抗剂的不良反应及相互作用。
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Ranitidine. An updated review of its pharmacodynamic and pharmacokinetic properties and therapeutic use in peptic ulcer disease and other allied diseases.雷尼替丁。对其药效学、药代动力学特性以及在消化性溃疡疾病和其他相关疾病中的治疗应用的最新综述。
Drugs. 1989 Jun;37(6):801-70. doi: 10.2165/00003495-198937060-00003.
西咪替丁对肝血流量及普萘洛尔代谢的影响
N Engl J Med. 1981 Mar 19;304(12):692-5. doi: 10.1056/NEJM198103193041202.
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A consideration of the adverse effects of cimetidine.西咪替丁的不良反应探讨。
Gastroenterology. 1981 Jan;80(1):181-92.
5
[Hepatic hemodynamics in patients with alcoholic liver injuries assessed by organ-reflectance spectrophotometry and hydrogen clearance method].[通过器官反射分光光度法和氢清除法评估酒精性肝损伤患者的肝脏血流动力学]
Nihon Shokakibyo Gakkai Zasshi. 1984 Mar;81(3):880-5.
6
Hepatic hemodynamics in patients with chronic hepatitis or cirrhosis as assessed by organ-reflectance spectrophotometry.通过器官反射分光光度法评估慢性肝炎或肝硬化患者的肝脏血流动力学。
Gastroenterology. 1983 Mar;84(3):611-6.
7
Ranitidine and liver blood flow.雷尼替丁与肝脏血流量。
Lancet. 1982 Feb 13;1(8268):398. doi: 10.1016/s0140-6736(82)91425-8.
8
Ranitidine also reduces liver blood flow.雷尼替丁也会减少肝血流量。
Lancet. 1982 Jan 16;1(8264):169. doi: 10.1016/s0140-6736(82)90417-2.
9
Inhibition of microsomal drug metabolism by histamine H2-receptor antagonists studied in vivo and in vitro in rodents.组胺H2受体拮抗剂对微粒体药物代谢的抑制作用:在啮齿动物体内和体外的研究
Gastroenterology. 1982 Jan;82(1):89-96.
10
Cimetidine and ranitidine: comparison of effects on hepatic drug metabolism.西咪替丁和雷尼替丁:对肝脏药物代谢影响的比较。
Br Med J. 1980 Sep 20;281(6243):775-7. doi: 10.1136/bmj.281.6243.775.