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[巴比妥类药物对体外循环期间血流动力学的影响:硫喷妥钠与甲己炔巴比妥的比较]

[The effect on barbiturates on hemodynamics during extracorporeal circulation: thiopental versus methohexital].

作者信息

Ellmauer S, Brandt L

出版信息

Anaesthesist. 1986 Jul;35(7):414-8.

PMID:3752487
Abstract

We studied the effects of thiopentone (3 vs 6 mg/kg) and methohexitone (1 vs 2 mg/kg) on TPR during hypertensive episodes (m BP greater than 80 mmHg) under the conditions of ECC and hypothermia: T led to an initial shortlasting increase of TPR up to 114% and 125% from baseline for the dosages tested. This was followed by a decrease to 67% and 56% respectively. After 5 min TPR returned to control. The effect of M on TPR is less pronounced (maximum reduction of 35%) but of longer duration. In contrast to thiopentone we did not observe a biphasic course of TPR following administration of methohexitone.

摘要

我们研究了在体外循环(ECC)和低温条件下,硫喷妥钠(3毫克/千克与6毫克/千克)和甲己炔巴比妥(1毫克/千克与2毫克/千克)对高血压发作期间(平均血压大于80毫米汞柱)总外周阻力(TPR)的影响:硫喷妥钠导致TPR最初短暂升高,在所测试剂量下分别比基线升高至114%和125%。随后分别降至67%和56%。5分钟后TPR恢复至对照水平。甲己炔巴比妥对TPR的影响不太明显(最大降低35%),但持续时间更长。与硫喷妥钠不同,给予甲己炔巴比妥后,我们未观察到TPR的双相变化过程。

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