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茶碱对早产新生儿肾功能的影响。

The effects of theophylline on renal function in the premature newborn.

作者信息

Harkavy K L, Scanlon J W, Jose P

出版信息

Biol Neonate. 1979;35(3-4):126-30. doi: 10.1159/000241163.

DOI:10.1159/000241163
PMID:435587
Abstract

The effects of aminophylline on renal function in 10 premature infants with idiopathic apnea are evaluated. The percent increases in creatinine clearance (128 +/- 339%, mean +/- SD) and sodium clearance (196 +/- 304%, mean +/- SD) are variable while the percent increase in fractional sodium excretion (69 +/- 109%, mean +/- SD) is significant. This effect is postulated to be at the proximal tubule and may be modified by the effects of postnatal age and infusion of albumin. Gestational age, birth weight, heart disease, water and sodium intake and ventilatory support did not appear to influence the results. Hyponatremia is a potential consequence of theophylline therapy for apnea.

摘要

评估了氨茶碱对10例特发性呼吸暂停早产儿肾功能的影响。肌酐清除率(平均±标准差为128±339%)和钠清除率(平均±标准差为196±304%)的增加百分比变化不定,而钠排泄分数增加百分比(平均±标准差为69±109%)则有显著意义。推测这种作用发生在近端小管,且可能受出生后年龄和白蛋白输注的影响而改变。胎龄、出生体重、心脏病、水和钠摄入量以及通气支持似乎并未影响结果。低钠血症是茶碱治疗呼吸暂停的一个潜在后果。

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1
The effects of theophylline on renal function in the premature newborn.茶碱对早产新生儿肾功能的影响。
Biol Neonate. 1979;35(3-4):126-30. doi: 10.1159/000241163.
2
Effects of theophylline on renal function in premature infants.茶碱对早产儿肾功能的影响。
Am J Perinatol. 1997 Jan;14(1):45-9. doi: 10.1055/s-2007-994095.
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Dosage schedule for intravenous aminophylline in apnoea of prematurity, based on pharmacokinetic studies.基于药代动力学研究的早产儿呼吸暂停静脉注射氨茶碱的给药方案。
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Theophylline concentration following equal doses of intravenous aminophylline and oral theophylline in preterm infants.早产儿静脉注射氨茶碱和口服茶碱等量剂量后的茶碱浓度。
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[Hyponatremia and theophylline in very low birthweight premature infants].极低出生体重早产儿的低钠血症与茶碱
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Bacterial infection in preterm infants during xanthine therapy for idiopathic apnoea of prematurity.
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Additive diuretic response of concurrent aminophylline and furosemide in children: a case series and a brief literature review.同时使用氨茶碱和呋塞米的儿童利尿效果增强:病例系列和文献复习。
J Anesth. 2012 Feb;26(1):118-23. doi: 10.1007/s00540-011-1250-0. Epub 2011 Oct 18.
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Apnoea of immaturity. 1. A controlled trial of theophylline and face mask continuous positive airways pressure.
未成熟儿呼吸暂停。1. 茶碱与面罩持续气道正压通气的对照试验。
Arch Dis Child. 1982 Oct;57(10):761-5. doi: 10.1136/adc.57.10.761.
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Sodium homeostasis in term and preterm neonates. III. Effect of salt supplementation.足月儿和早产儿的钠稳态。III. 补充盐分的影响。
Arch Dis Child. 1984 Oct;59(10):945-50. doi: 10.1136/adc.59.10.945.
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Principles of drug biodisposition in the neonate. A critical evaluation of the pharmacokinetic-pharmacodynamic interface (Part II).新生儿药物生物转化原理。药代动力学-药效学界面的批判性评估(第二部分)
Clin Pharmacokinet. 1988 May;14(5):261-86. doi: 10.2165/00003088-198814050-00001.