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琥珀胆碱和地西泮后的二氧化碳生成量。

CO2 production after suxamethonium and diazepam.

作者信息

Schou-Olesen A, Christensen K J, Hartmann-Andersen F, Jørgensen S

出版信息

Acta Anaesthesiol Scand. 1986 Nov;30(8):685-8. doi: 10.1111/j.1399-6576.1986.tb02502.x.

Abstract

The CO2-production and degree of relaxation after increasing doses of suxamethonium were measured in seven patients undergoing alloplastic surgery of the hip. The study indicates that the CO2-production rises following the injection of increasing doses of suxamethonium. Another group of patients received diazepam 0.1 mg kg-1 before the injection of suxamethonium 1 mg kg-1. CO2-production was significantly reduced compared to CO2 production when suxamethonium was not preceded by diazepam. It is suggested that diazepam in doses larger than 0.1 mg kg-1 might be effective in preventing fasciculations and postoperative muscle pains before the injection of suxamethonium in a dose of 0.5 mg kg-1.

摘要

对7例接受髋关节异体植入手术的患者,测量了递增剂量琥珀胆碱给药后的二氧化碳生成量及松弛程度。研究表明,随着琥珀胆碱剂量的增加,二氧化碳生成量上升。另一组患者在注射1mg/kg琥珀胆碱前先接受了0.1mg/kg的地西泮。与未预先注射地西泮而注射琥珀胆碱时相比,二氧化碳生成量显著降低。有人提出,剂量大于0.1mg/kg的地西泮可能在以0.5mg/kg剂量注射琥珀胆碱前有效预防肌束震颤和术后肌肉疼痛。

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