Kurek A
Instytut Nauk Fizjologicznych AR w Lublinie.
Pol Arch Weter. 1987;24(4):485-99.
Different actions of pralidoxim and obidoxim were shown in studies on the influence of ChE reactivators (administered in doses of 10, 20, 40 mg/kg) on the circulatory and respiratory system. Blood flow velocity, arterial blood pressure in the carotid artery, the frequency and amplitude of breathing were recorded continuosly 60 min before and after intravenous injection of the reactivator. From these data the pulse rate, blood flow rate and the coefficient of the peripheral vascular resistance were calculated. At the same time pulse pressure was determined. Pralidoxim (PAM) acts parasympathicolitically on the heart-vascular system. It causes blood vessel shrinkage and decreases blood flow which is accounted for by increased vascular resistance by 20-40%. Such reactions cause, particularly after lower doses, increased arterial pressure and pulse rate by 15%. A 10 mg/kg dose of obidoxim increased pulse rate and blood flow for 15 min after the injection after 15 min the blood flow gradually decreased with simultaneous increase of the vascular resistance by 30%, as compared with the initial values. At larger doses it evoked mainly vascular reactions characterized by a constant increase of blood flow with simultaneous decrease of the vascular area. The ChE reactivators used stimulated the function of the respiratory system, which becomes apparent by increasing frequency of breathing with simultaneous increase of its amplitude. In these studies no differences were found in the action of obidoxim: Toxogonin (E. Merck) and Toxobidin (Polfa).
在关于胆碱酯酶复活剂(以10、20、40mg/kg的剂量给药)对循环和呼吸系统影响的研究中,显示了氯解磷定和双复磷的不同作用。在静脉注射复活剂之前和之后60分钟,连续记录血流速度、颈动脉动脉血压、呼吸频率和幅度。根据这些数据计算脉搏率、血流率和外周血管阻力系数。同时测定脉压。氯解磷定(PAM)对心血管系统起副交感神经阻滞作用。它导致血管收缩并减少血流,这是由血管阻力增加20%-40%所致。这些反应尤其在较低剂量后会导致动脉压和脉搏率升高15%。注射后,10mg/kg剂量的双复磷使脉搏率和血流增加15分钟,15分钟后血流逐渐减少,同时血管阻力比初始值增加30%。在较大剂量时,它主要引起血管反应,其特征是血流持续增加,同时血管面积减小。所使用的胆碱酯酶复活剂刺激了呼吸系统的功能,这通过呼吸频率增加同时幅度增大而变得明显。在这些研究中,未发现双复磷的不同制剂(德国默克公司的双复磷和波兰法玛公司的双复磷)在作用上有差异。