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低剂量输注利托君对未麻醉妊娠豚鼠心输出量分布及子宫胎盘血流的影响。

The effect of a low-dose infusion of ritodrine on cardiac output distribution and uteroplacental blood flow in unanaesthetized pregnant guinea pigs.

作者信息

van de Walle A F, Martin C B

出版信息

Eur J Obstet Gynecol Reprod Biol. 1987 May;25(1):67-75. doi: 10.1016/0028-2243(87)90093-1.

DOI:10.1016/0028-2243(87)90093-1
PMID:3595975
Abstract

Cardiac output and its distribution were measured using the microsphere technique before and at 2 and 6 h during the infusion of ritodrine, 1.5 microgram X min-1 X kg-1 i.v., into near-term pregnant guinea pigs. Average cardiac output increased 16 and 25%, and total peripheral resistance decreased 16 and 19% after 2 and 6 h of ritodrine infusion. The carcass and gastrointestinal tract together received two-thirds of the extra cardiac output. Uteroplacental blood flow and uteroplacental vascular resistance were not significantly different from the preinfusion values after 2 h of ritodrine treatment, but were increased 35% and decreased 31%, respectively (p less than 0.05 and less than 0.01), after 6 h of infusion. The increase in uteroplacental blood flow between the 2- and 6-h measurements was positively, and the decrease in uteroplacental vascular resistance negatively correlated with the increase in cardiac output during the same period.

摘要

采用微球技术,在向近足月妊娠豚鼠静脉输注利托君(1.5微克·分钟⁻¹·千克⁻¹)之前、输注期间2小时和6小时时,测量心输出量及其分布。输注利托君2小时和6小时后,平均心输出量分别增加了16%和25%,总外周阻力分别降低了16%和19%。躯体和胃肠道共接受了额外心输出量的三分之二。利托君治疗2小时后,子宫胎盘血流量和子宫胎盘血管阻力与输注前值相比无显著差异,但输注6小时后,子宫胎盘血流量分别增加了35%,子宫胎盘血管阻力降低了31%(P<0.05和<0.01)。在2小时和6小时测量之间,子宫胎盘血流量的增加与同期心输出量的增加呈正相关,子宫胎盘血管阻力的降低与同期心输出量的增加呈负相关。

相似文献

1
The effect of a low-dose infusion of ritodrine on cardiac output distribution and uteroplacental blood flow in unanaesthetized pregnant guinea pigs.低剂量输注利托君对未麻醉妊娠豚鼠心输出量分布及子宫胎盘血流的影响。
Eur J Obstet Gynecol Reprod Biol. 1987 May;25(1):67-75. doi: 10.1016/0028-2243(87)90093-1.
2
Effect of prolonged infusion of ritodrine on uteroplacental blood flow and cardiac output distribution in unanesthetized pregnant guinea pigs.利托君持续输注对未麻醉妊娠豚鼠子宫胎盘血流及心输出量分布的影响。
Eur J Obstet Gynecol Reprod Biol. 1986 Apr;21(4):253-60. doi: 10.1016/0028-2243(86)90025-0.
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Effect of ritodrine on uteroplacental blood flow and cardiac output distribution in unanesthetized pregnant guinea pigs.利托君对未麻醉妊娠豚鼠子宫胎盘血流及心输出量分布的影响。
Am J Obstet Gynecol. 1986 Jan;154(1):189-94. doi: 10.1016/0002-9378(86)90423-0.
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Myoendothelial and placental blood flow responses to ritodrine infusion in the guinea pig.豚鼠对利托君输注的肌内皮和胎盘血流反应。
Am J Obstet Gynecol. 1979 Oct 1;135(3):318-21. doi: 10.1016/0002-9378(79)90697-5.
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Cardiac and uterine hemodynamic responses to ritodrine hydrochloride administration in pregnant sheep.盐酸利托君对妊娠绵羊心脏和子宫血流动力学的影响
Am J Obstet Gynecol. 1979 Jan 1;133(1):20-8. doi: 10.1016/0002-9378(79)90405-8.
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Effect of isoproterenol on uterine blood flow and cardiac output distribution in pregnant guinea pigs.异丙肾上腺素对妊娠豚鼠子宫血流量和心输出量分布的影响。
Am J Obstet Gynecol. 1985 Aug 15;152(8):1058-62. doi: 10.1016/0002-9378(85)90562-9.
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The hemodynamic response of the conscious pregnant guinea pig to nicotine.清醒妊娠豚鼠对尼古丁的血流动力学反应。
Am J Obstet Gynecol. 1987 Apr;156(4):1015-8. doi: 10.1016/0002-9378(87)90379-6.
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Effect of K+ATP channel inhibition on total and regional vascular resistance in guinea pig pregnancy.钾离子ATP通道抑制对豚鼠妊娠时总血管阻力和局部血管阻力的影响。
Am J Physiol. 1998 Aug;275(2):H680-8. doi: 10.1152/ajpheart.1998.275.2.H680.
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A comparison of the hemodynamic responses of systematic and uteroplacental vasculature to angiotensin in conscious guinea pigs.清醒豚鼠体内系统性和子宫胎盘血管系统对血管紧张素的血流动力学反应比较。
Am J Perinatol. 1987 Jul;4(3):235-9. doi: 10.1055/s-2007-999781.
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Ephedrine remains the vasopressor of choice for treatment of hypotension during ritodrine infusion and epidural anesthesia.在使用利托君输液和硬膜外麻醉期间,麻黄碱仍然是治疗低血压的首选血管加压药。
Anesthesiology. 1994 May;80(5):1073-81; discussion 28A. doi: 10.1097/00000542-199405000-00016.

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