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氟烷和儿茶酚胺对马心率和心律的影响。

Influence of halothane and catecholamines on heart rate and rhythm in the horse.

作者信息

Lees P, Tavernor W D

出版信息

Br J Pharmacol. 1970 May;39(1):149-59. doi: 10.1111/j.1476-5381.1970.tb09564.x.

DOI:10.1111/j.1476-5381.1970.tb09564.x
PMID:5420092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1703061/
Abstract
  1. Ventricular ectopic beats were recorded in eight of thirteen conscious horses following the intravenous administration of adrenaline in doses of 3 mug/kg. Following pre-treatment with either atropine sulphate (0.1 mg/kg) or propranolol hydrochloride (0.1 mg/kg), the same dose level of adrenaline failed to produce ventricular ectopic beats.2. Halothane anaesthesia sensitized the equine heart to the arrhythmogenic actions of adrenaline; the incidence and duration of ventricular arrhythmias being greater than in conscious animals. In comparison with the findings in conscious horses, ether anaesthesia appeared to protect the heart against adrenaline-induced arrhythmias.3. From a comparison of the arrhythmogenic, chronotropic and pressor actions of adrenaline, noradrenaline and isoprenaline during halothane anaesthesia, it was concluded that sensitization to the arrhythmogenic actions of catecholamines resulted primarily from the action of halothane on the ventricle. The results also indicated that the pressor responses to catecholamines during halothane anaesthesia probably played some part in the genesis of arrhythmias.4. No "spontaneous" ventricular arrhythmias were recorded in twenty-four horses anaesthetized with halothane or in sixteen animals under ether anaesthesia.5. The available evidence indicates that a moderate to fairly severe degree of hypercapnia produced little increase in sympathetic control of the myocardium during halothane anaesthesia; the absence of irregularities in ventricular rhythm during halothane anaesthesia were attributed to this factor.
摘要
  1. 给13匹清醒马静脉注射3微克/千克剂量的肾上腺素后,其中8匹马记录到室性早搏。在用硫酸阿托品(0.1毫克/千克)或盐酸普萘洛尔(0.1毫克/千克)预处理后,相同剂量水平的肾上腺素未能诱发室性早搏。

  2. 氟烷麻醉使马的心脏对肾上腺素的致心律失常作用敏感;室性心律失常的发生率和持续时间比清醒动物更高。与清醒马的研究结果相比,乙醚麻醉似乎能保护心脏免受肾上腺素诱发的心律失常影响。

  3. 通过比较氟烷麻醉期间肾上腺素、去甲肾上腺素和异丙肾上腺素的致心律失常、变时性和升压作用,得出结论:对儿茶酚胺致心律失常作用的敏感性主要源于氟烷对心室的作用。结果还表明,氟烷麻醉期间对儿茶酚胺的升压反应可能在心律失常的发生中起了一定作用。

  4. 在24匹接受氟烷麻醉的马或16匹接受乙醚麻醉的动物中未记录到“自发性”室性心律失常。

  5. 现有证据表明,在氟烷麻醉期间,中度至相当严重程度的高碳酸血症对心肌交感神经控制的增加作用不大;氟烷麻醉期间心室节律无异常归因于这一因素。

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Influence of halothane and catecholamines on heart rate and rhythm in the horse.氟烷和儿茶酚胺对马心率和心律的影响。
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Cardiac arrhythmias in non-intubated children during adenoidectomy. A comparison between enflurane and halothane anaesthesia.腺样体切除术期间非插管儿童的心律失常。恩氟烷和氟烷麻醉的比较。
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Arrhythmias during halothane anaesthesia II: the influence of atropine.
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The effect of catecholamine infusions on myocardial blood flow, metabolic heat production and on general haemodynamics, before and after alprenolol (H56-28), in anaesthetized cats.在麻醉猫中,观察了阿普洛尔(H56 - 28)给药前后,儿茶酚胺输注对心肌血流量、代谢产热及整体血流动力学的影响。
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Effect of propranolol on catecholamine-induced arrhythmias during nitrous oxide-halothane anaesthesia in the dog.普萘洛尔对犬在氧化亚氮-氟烷麻醉期间儿茶酚胺诱发心律失常的影响。
Br J Anaesth. 1966 Nov;38(11):871-7. doi: 10.1093/bja/38.11.871.

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Can Vet J. 2007 Jun;48(6):623-6.
2
Apneic oxygenation in anesthetized ponies and horses.
Vet Res Commun. 1987;11(3):281-91. doi: 10.1007/BF00570926.
3
Prevention of thiopental and thiopental/halothane cardiac sensitization to epinephrine in the sheep.绵羊中硫喷妥钠及硫喷妥钠/氟烷对肾上腺素心脏致敏作用的预防
Can J Comp Med. 1977 Oct;41(4):389-95.

本文引用的文献

1
Cardiac irregularities in cats under halothane anaesthesia.氟烷麻醉下猫的心脏节律异常。
Br J Anaesth. 1959 Nov;31:488-9. doi: 10.1093/bja/31.11.488.
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The epinephrine and hydrocarbon-epinephrine disturbance in the cat.
J Pharmacol Exp Ther. 1955 May;114(1):1-9.
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CARDIAC ARRHYTHMIAS PRODUCED BY CATECHOLAMINES IN ANESTHETIZED DOGS.麻醉犬体内儿茶酚胺引发的心律失常
Circ Res. 1964 Jul;15:77-82. doi: 10.1161/01.res.15.1.77.
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PRONETHALOL IN TREATMENT OF VENTRICULAR ARRHYTHMIAS DURING ANAESTHESIA.心得宁在麻醉期间室性心律失常治疗中的应用
Br Med J. 1964 Mar 7;1(5383):603-4. doi: 10.1136/bmj.1.5383.603.
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Preliminary report on the effects of halothane on cardiac action and blood pressure in the horse.氟烷对马心脏活动及血压影响的初步报告。
Am J Vet Res. 1962 Mar;23:248-50.
6
Circulatory changes accompanying respiratory acidosis during halothane (fluothane) anaesthesia in man.氟烷麻醉期间人体呼吸性酸中毒时的循环变化
Br J Anaesth. 1959 Jun;31:238-46. doi: 10.1093/bja/31.6.238.
7
The cardiovascular effects of halothane.氟烷对心血管系统的影响。
Can Anaesth Soc J. 1958 Oct;5(4):384-402. doi: 10.1007/BF03021139.
8
Anesthetic, circulatory and respiratory effects of fluothane.
Anesthesiology. 1958 May-Jun;19(3):307-20. doi: 10.1097/00000542-195805000-00001.
9
Evaluation of fluothane for clinical anaesthesia.氟烷用于临床麻醉的评估。
Can Anaesth Soc J. 1957 Jul;4(3):246-58. doi: 10.1007/BF03014423.
10
The action of fluothane; a new volatile anaesthetic.氟烷的作用;一种新型挥发性麻醉剂。
Br J Pharmacol Chemother. 1956 Dec;11(4):394-410. doi: 10.1111/j.1476-5381.1956.tb00007.x.