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肝素经肺途径。

Heparin via the lung.

作者信息

Wright C J, Jaques L B

出版信息

Can J Surg. 1979 Jul;22(4):317-9.

PMID:455159
Abstract

Only recently has it been realized that heparin is absorbed when administered into the lung. Im mice, rats, dogs and humans a large dose of intrapulmonary heparin has been shown to cause a moderate degree of hypocoagulability lasting from 48 hours to 14 days depending on the species. This study is part of an ongoing program investigating the effects of the intrapulmonary administration of heparin. Heparin, 1500 units/kg body weight was instilled into the lung in a group of 12 dogs and an equal volume of saline was given in a control group of 10 dogs. Various hemodynamic and metabolic measurements were made at intervals. As expected there was a prolonged moderate increase in clotting time, but no significant effects from intrapulmonary administration of heparin were demonstrated by any of the other measurements. Much work has yet to be done before intrapulmonary heparin can be used clinically but it has potential importance in the management of thromboembolic disease.

摘要

直到最近才认识到肝素经肺给药时会被吸收。在小鼠、大鼠、狗和人类中,已表明大剂量肺内注射肝素会导致中度低凝状态,持续时间从48小时到14天不等,具体取决于物种。本研究是正在进行的一项关于肺内注射肝素效果研究项目的一部分。给一组12只狗肺内注入1500单位/千克体重的肝素,给10只狗的对照组注入等体积的生理盐水。每隔一段时间进行各种血流动力学和代谢测量。正如预期的那样,凝血时间有适度延长,但其他任何测量均未显示肺内注射肝素的显著效果。在肺内注射肝素可用于临床之前,还有许多工作要做,但它在血栓栓塞性疾病的治疗中具有潜在的重要性。

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