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多巴胺治疗脊髓性低血压会降低妊娠母羊的子宫血流量。

Dopamine treatment of spinal hypotension decreases uterine blood flow in the pregnant ewe.

作者信息

Rolbin S H, Levinson G, Shnider S M, Biehl D R, Wright R G

出版信息

Anesthesiology. 1979 Jul;51(1):37-40.

PMID:36821
Abstract

In seven pregnant ewes, 3--5 min of hypotension resulting from spinal anesthesia decreased uterine blood flow 17 per cent. Dopamine, in doses sufficient to maintain blood pressure at control values (20--40 micrgram/kg/min) for 3--5 min, further decreased uterine blood flow to 56 per cent less than control and increased uterine vascular resistance to 50 per cent more than control. Following 30 min of hypotension, 30 min of dopamine administration in doses sufficient to restore blood pressure to control values (5--20 microgram/kg/min) similarly decreased uterine blood flow to 29 per cent less than control and increased uterine vascular resistance to 35 per cent more than control.

摘要

在7只怀孕母羊中,脊髓麻醉导致的3 - 5分钟低血压使子宫血流量减少了17%。多巴胺剂量足以在3 - 5分钟内将血压维持在对照值(20 - 40微克/千克/分钟),进一步使子宫血流量降至比对照低56%,并使子宫血管阻力比对照增加50%。在30分钟低血压后,以足以将血压恢复到对照值(5 - 20微克/千克/分钟)的剂量给予30分钟多巴胺,同样使子宫血流量降至比对照低29%,并使子宫血管阻力比对照增加35%。

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引用本文的文献

1
The role of vasopressors in the management of hypotension induced by spinal and epidural anaesthesia.血管升压药在脊髓和硬膜外麻醉所致低血压管理中的作用。
Can J Anaesth. 1994 May;41(5 Pt 1):404-13. doi: 10.1007/BF03009863.
2
Obstetrical anaesthesia practice in the University of Toronto affiliated hospitals and some randomly selected community hospitals.多伦多大学附属医院及部分随机选取的社区医院的产科麻醉实践。
Can Anaesth Soc J. 1981 Mar;28(2):158-66. doi: 10.1007/BF03007261.
3
Uterine and systemic vascular responses to dopamine in pregnant ewes.
妊娠母羊子宫和全身血管对多巴胺的反应。
Arch Gynecol. 1983;233(4):259-62. doi: 10.1007/BF02133799.