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年龄与挥发性麻醉剂在绵羊组织中的溶解度

Age and the solubility of volatile anesthetics in ovine tissues.

作者信息

Lerman J, Gregory G A, Willis M M, Schmitt B I, Eger E I

出版信息

Anesth Analg. 1985 Nov;64(11):1097-100.

PMID:4051207
Abstract

To determine the effect of age on the solubility of volatile anesthetics in tissues, we measured the blood/gas and tissue/gas partition coefficients of isoflurane, enflurane, halothane, and methoxyflurane in vitro at 37 degrees C in newborn lambs and postpartum adult sheep. The tissue specimens examined were brain, heart, liver, kidney, muscle, and fat. Hematocrit and serum concentrations of albumin, globulin, cholesterol, and triglycerides were measured. The blood/gas partition coefficients, hematocrit, and the serum concentrations of albumin, globulin, cholesterol, and triglycerides in the newborn lambs did not differ from those in the adult sheep. The tissue/blood partition coefficients [the ratio of (tissue/gas)/(blood/gas)] in newborn lambs were 28% [mean value for the four anesthetics] less than those in the adults. The tissue/blood partition coefficients for enflurane and methoxyflurane in newborn tissues were significantly less (P less than 0.05) than those for halothane and isoflurane. We conclude that the blood/gas partition coefficients in sheep do not change significantly with age, and that the time required for equilibration of volatile anesthetics (particularly enflurane and methoxyflurane) in newborn tissues is probably less than in adult sheep.

摘要

为了确定年龄对挥发性麻醉剂在组织中溶解度的影响,我们在37摄氏度下,于新生羔羊和产后成年绵羊体内,对异氟烷、恩氟烷、氟烷和甲氧氟烷的血/气和组织/气分配系数进行了体外测量。所检测的组织标本包括脑、心脏、肝脏、肾脏、肌肉和脂肪。测量了血细胞比容以及白蛋白、球蛋白、胆固醇和甘油三酯的血清浓度。新生羔羊的血/气分配系数、血细胞比容以及白蛋白、球蛋白、胆固醇和甘油三酯的血清浓度与成年绵羊并无差异。新生羔羊的组织/血分配系数[(组织/气)/(血/气)的比值]比成年羊低28%[四种麻醉剂的平均值]。新生组织中恩氟烷和甲氧氟烷的组织/血分配系数显著低于(P<0.05)氟烷和异氟烷。我们得出结论,绵羊的血/气分配系数不会随年龄显著变化,并且挥发性麻醉剂(尤其是恩氟烷和甲氧氟烷)在新生组织中达到平衡所需的时间可能比成年绵羊短。

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