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[母亲患有癫痫小发作的新生儿体内乙琥胺的代谢与消除]

[Metabolism and elimination of ethosuximide in neonates whose mothers had petit mal].

作者信息

Tejerizo López L C, de Santiago Obeso J, Henríquez Esquiroz J M, Pérez González M C, Jorge Mendoza J M

机构信息

Servicio de Obstetricia y Ginecologia, Hospital Virgen de los Volcanes, Arrecife de Lanzarote, Las Palmas.

出版信息

An Esp Pediatr. 1987 Nov;27(5):352-6.

PMID:3125772
Abstract

In thirteen newborn infants of mothers affected with "petit mal" and treated with ethosuximide, submitted to artificial feeding with powdered milk, it was found that transplacental elimination of the drug occurred. Authors recorded daily serum concentration of ethosuximide and found that average life before it was totally eliminated was 80.62 +/- 7.24 hours. At the moment of birth serum concentration of mothers, and their newborn infants are similar due to transplacental by-pass. Through a lineal regression coefficient they find a relation between serum concentration in newborn infants and time passed from the moment of birth. This coefficient was negative and thus signified facility of the newborn to eliminate the drug. This result allows us to treat the mother adequately during anti-natal period with adequate dose to avoid subsequent epileptic attacks without producing toxicity in the newborn child.

摘要

在13名患有“失神发作”并接受乙琥胺治疗的母亲所生的新生儿中,这些新生儿采用奶粉人工喂养,研究发现药物可经胎盘消除。作者记录了乙琥胺的每日血清浓度,发现其完全消除前的平均存留时间为80.62±7.24小时。由于胎盘旁路作用,母亲及其新生儿出生时的血清浓度相似。通过线性回归系数,他们发现了新生儿血清浓度与出生后时间之间的关系。该系数为负,表明新生儿易于消除药物。这一结果使我们能够在孕期用适当剂量充分治疗母亲,以避免随后的癫痫发作,同时又不会对新生儿产生毒性。

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