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股骨颈骨折患者的甲基丙烯酸甲酯血药浓度

Methylmethacrylate blood levels in patients with femoral neck fracture.

作者信息

Svartling N, Pfäffli P, Tarkkanen L

出版信息

Arch Orthop Trauma Surg (1978). 1985;104(4):242-6. doi: 10.1007/BF00450218.

DOI:10.1007/BF00450218
PMID:4084039
Abstract

The blood levels of monomeric methylmethacrylate were measured in 20 patients with fracture of the femoral neck, treated with a Thompson prosthesis under spinal anesthesia. Monomeric methylmethacrylate was detected in the blood stream in all patients; the maximum levels (mean 6.44 micrograms/ml, range 0.05-31.89 micrograms/ml) were measured 30 s after insertion of the Thompson prosthesis. A moderate drop in systolic blood pressure and a marked reduction of arterial oxygen tension was noted after cementation and insertion of the prosthesis; the mean maximum drops were 10.1 mm Hg (range 0-32 mm Hg) and 6.1 mm Hg (range 0-13.5 mm Hg) No dose-dependent correlation could be established between the levels of monomeric methylmethacrylate and the drop in arterial blood pressure or arterial oxygen tension.

摘要

对20例接受脊髓麻醉下汤普森假体治疗的股骨颈骨折患者,测定其血液中单体甲基丙烯酸甲酯的水平。所有患者血液中均检测到单体甲基丙烯酸甲酯;在插入汤普森假体30秒后测得最高水平(平均6.44微克/毫升,范围0.05 - 31.89微克/毫升)。在骨水泥固定和假体插入后,观察到收缩压适度下降以及动脉血氧张力显著降低;平均最大降幅分别为10.1毫米汞柱(范围0 - 32毫米汞柱)和6.1毫米汞柱(范围0 - 13.5毫米汞柱)。在单体甲基丙烯酸甲酯水平与动脉血压下降或动脉血氧张力下降之间未发现剂量依赖性相关性。

相似文献

1
Methylmethacrylate blood levels in patients with femoral neck fracture.股骨颈骨折患者的甲基丙烯酸甲酯血药浓度
Arch Orthop Trauma Surg (1978). 1985;104(4):242-6. doi: 10.1007/BF00450218.
2
The effect of anaesthesia on changes in blood pressure and plasma cortisol levels induced by cementation with methylmethacrylate.麻醉对甲基丙烯酸甲酯骨水泥固定所致血压变化及血浆皮质醇水平的影响。
Acta Anaesthesiol Scand. 1986 Apr;30(3):247-52. doi: 10.1111/j.1399-6576.1986.tb02406.x.
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Intra-operative collapse or death related to the use of acrylic cement in hip surgery.髋关节手术中与使用骨水泥相关的术中虚脱或死亡。
Anaesthesia. 1989 Feb;44(2):149-53. doi: 10.1111/j.1365-2044.1989.tb11168.x.
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[Role of methylmethacrylate in various cardiovascular complications observed in orthopedic surgery].[甲基丙烯酸甲酯在骨科手术中观察到的各种心血管并发症中的作用]
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Methylmethacrylate plasma levels during total hip arthroplasty.全髋关节置换术中甲基丙烯酸甲酯的血浆水平。
Clin Orthop Relat Res. 1993 Feb(287):112-6.
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[Prosthetic cement: a vital risk?].[人工关节骨水泥:一项重大风险?]
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[Comparative circulatory studies during implantation of total endoprostheses using methylmethacrylate and BDF cement].
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引用本文的文献

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The Bone Cement Hypercoagulation Syndrome: Pathophysiology, Mortality, and Prevention.骨水泥高凝综合征:病理生理学、死亡率和预防。
Clin Appl Thromb Hemost. 2023 Jan-Dec;29:10760296231198036. doi: 10.1177/10760296231198036.
2
Bone cement implantation syndrome. A prospective randomised trial for use of antihistamine blockade.骨水泥植入综合征。一项关于使用抗组胺药阻滞的前瞻性随机试验。
Arch Orthop Trauma Surg. 1995;114(6):335-9. doi: 10.1007/BF00448957.
3
Pharmacokinetics of methylmethacrylate monomer during total hip replacement in man.

本文引用的文献

1
New clinico-pathophysiological studies on the bone cement implantation syndrome.骨水泥植入综合征的新临床病理生理学研究
Arch Orthop Trauma Surg (1978). 1980;97(4):263-74. doi: 10.1007/BF00380707.
2
Air embolism in hip surgery.髋关节手术中的空气栓塞
Anaesthesia. 1980 Sep;35(9):858-62. doi: 10.1111/j.1365-2044.1980.tb03943.x.
3
Pathogenesis of circulatory reactions triggered by nervous reflexes during the implantation of bone cements.
Res Exp Med (Berl). 1983;183(2):77-94. doi: 10.1007/BF01851774.
人工全髋关节置换术中甲基丙烯酸甲酯单体的药代动力学
Arch Orthop Trauma Surg (1978). 1988;107(5):316-21. doi: 10.1007/BF00451513.
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Cardiac arrest associated with bone cement.与骨水泥相关的心搏骤停。
Br Med J. 1970 Aug 8;3(5718):326. doi: 10.1136/bmj.3.5718.326.
5
Hypotension associated with methyl methacrylate in total hip arthroplasties.全髋关节置换术中与甲基丙烯酸甲酯相关的低血压
Clin Orthop Relat Res. 1972;88:154-60. doi: 10.1097/00003086-197210000-00027.
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Low-friction arthroplasty.低摩擦关节成形术
JAMA. 1972 Feb;219(6):757. doi: 10.1001/jama.1972.03190320057028.
7
Some physiological aspects of prosthesis stabilization with acrylic polymer.丙烯酸聚合物假体固定的一些生理方面
Clin Orthop Relat Res. 1972 Mar-Apr;83:317-28. doi: 10.1097/00003086-197203000-00052.
8
[Penetration of methylmethacrylate-monomer in blood circulation following hip joint prosthesis surgery in man].[人工髋关节置换术后甲基丙烯酸甲酯单体在人体血液循环中的渗透情况]
Chirurg. 1974 May;45(5):236-42.
9
Air embolism during total hip arthroplasties.全髋关节置换术中的空气栓塞
Anesthesiology. 1974 Apr;40(4):405-7. doi: 10.1097/00000542-197404000-00019.
10
Blood pressure lowering effect of methylmethacrylate monomer. Potentiation by blood volume deficit.甲基丙烯酸甲酯单体的降压作用。血容量不足的增强作用。
Clin Orthop Relat Res. 1974 Jan-Feb(98):254-7. doi: 10.1097/00003086-197401000-00031.