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[静脉注射非诺特罗治疗重度支气管哮喘和哮喘持续状态]

[Treatment of severe bronchial asthma and status asthmaticus with intravenous fenoterol].

作者信息

Baur X

机构信息

Pneumologische Abteilung, Medizinische Klinik, Klinikum Grossshadern der Universität München.

出版信息

Dtsch Med Wochenschr. 1988 May 13;113(19):763-6. doi: 10.1055/s-2008-1067717.

Abstract

In eight patients with moderately severe bronchial obstruction intravenous bolus injection and continuous (four-hour) infusion of fenoterol (a beta 2-sympathomimetic) achieved a significant reduction in airway resistance after previous inhalation of the drug. Plasma levels of about 1.1 ng/ml were sufficiently effective. Intravenous administration of fenoterol gave a more rapid bronchospasmolytic response than theophylline-ethylenediamine (10 patients). In contrast to the latter drug, fenoterol caused a significant rise in heart rate. Intravenous fenoterol is thus an alternative to systemic theophylline administration for severe obstructive disorders of ventilation. Because of their additive effect, simultaneous and continuous intravenous administration of both drugs is recommended in the treatment of pre-status and status asthmaticus.

摘要

在8例中度严重支气管阻塞患者中,先前吸入非诺特罗(一种β2 - 拟交感神经药)后,静脉推注并持续(4小时)输注该药物可使气道阻力显著降低。血浆浓度约为1.1 ng/ml时疗效充分。静脉给予非诺特罗比氨茶碱 - 乙二胺(10例患者)产生更快的支气管解痉反应。与后一种药物不同,非诺特罗导致心率显著升高。因此,静脉注射非诺特罗可作为严重通气障碍性疾病全身应用茶碱的替代方法。由于两者具有相加作用,在治疗哮喘前期和哮喘持续状态时,建议同时持续静脉给予这两种药物。

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