Kurek A
Instytut Nauk Fizjologicznych AR w Lublinie.
Pol Arch Weter. 1987;24(4):467-83.
Studies on the dynamics of changes in the circulatory and respiratory system in rabbits were carried out after intravenous injection of ChE reactivators used in treatment of poisoning with phosphoorganic compounds (FO). Blood flow in the carotid artery, arterial pressure, frequency and amplitude of breathing were measured. From the above data pulse rate and coefficient of vesself resistance were calculated. The results obtained indicate that the reactions in the circulatory and respiratory system depend on the kind of the reactivator, the size of its dose and time of action. Pralidoxim--PAM (at a dose of 10, 20, 40 mg/kg) acts cholinergically on the muscular coat o blood vessels, causing their shrinkage, which is proved by decreased blood flow with simultaneous increase of vessel resistance. The increase of vessel resistance was directly proportional to the dose of pralidoxim and often caused an increase in arterial pressure. Pralidoxim did not show a larger effect on the function of the heart. The action of obidoxim--Toxogonin or Toxobidin--does not only depend on the size of the dose but on the time of action as well. At small doses (10 mg/kg), obidoxim increases blood flow after 15 min, then causes shrinkage of blood vessels and decreases blood flow with increased vessel resistance. At larger doses (20, 40 mg/kg) a constant increase of blood flow is maintained, despite frequently decreased arterial pressure with simultaneously decreased vessel resistance. This accounts for blood vessel dilatation. The reactivators studied stimulate the function of the respiratory system by increased frequency of breathing, but its amplitude was effected to a lesser extent. It was also shown that ChE activity in blood was not changed significantly. The action of the indoxims studied was similar to that of Toxobidin (Polfa) and Toxogonin (E. Merck).
在用有机磷化合物(FO)中毒治疗中使用的胆碱酯酶复活剂静脉注射后,对家兔循环和呼吸系统的变化动力学进行了研究。测量了颈动脉中的血流、动脉血压、呼吸频率和幅度。根据上述数据计算了脉搏率和血管阻力系数。获得的结果表明,循环和呼吸系统中的反应取决于复活剂的种类、剂量大小和作用时间。解磷定——PAM(剂量为10、20、40mg/kg)对血管肌层有胆碱能作用,导致血管收缩,这可通过血流减少同时血管阻力增加得到证明。血管阻力的增加与解磷定的剂量成正比,且常导致动脉血压升高。解磷定对心脏功能没有更大影响。双复磷——托品肟或双复磷——的作用不仅取决于剂量大小,还取决于作用时间。小剂量(10mg/kg)时,双复磷在15分钟后增加血流,然后导致血管收缩并随着血管阻力增加而减少血流。大剂量(20、40mg/kg)时,尽管动脉血压经常下降且血管阻力同时降低,但血流仍持续增加。这说明血管扩张。所研究的复活剂通过增加呼吸频率刺激呼吸系统功能,但其幅度受到的影响较小。还表明血液中的胆碱酯酶活性没有明显变化。所研究的碘解磷定的作用与双复磷(Polfa)和托品肟(默克公司)相似。