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某些药物与新生儿血浆蛋白的结合能力与成人的比较(作者译)

[Binding capacity of some drugs to plasma proteins of newborns in comparison with adults (author's transl)].

作者信息

Bozkowa K, Prokopczyk J, Wańkowicz B, Piekarczyk A, Hofman H

出版信息

Klin Padiatr. 1977 Sep;189(5):296-301.

PMID:562437
Abstract

Comparative studies on binding capacity of some drugs to plasma proteins of newborns and adults were carried out. Plasma from the newborn and adult rabbits as well as human from 4 sources: a) from healthy adults, b) from cord blood, c) from 5 days old newborns, and 6 month old infants were used for the experiments. For methodological reasons in the first part of our studies we have chosen: two sulfonamides - sulfamethazine and sulfamethoxasole, chlorpromazine and sodium salicylate. In the experiments two different techniques were used 1) equilibrium dialysis, 2) ultrafiltration. On the basis of the results obtained in animals as well as in human beings it was noted that the degree of drug binding to plasma proteins in newborns was different from that observed in adults, it may be higher or lower according to the drug used. The knowledge of this fact is of great importance, and should be taken into consideration in the calculation of proper dosage of various drugs in the newborns and infants.

摘要

开展了一些药物与新生儿及成人血浆蛋白结合能力的比较研究。实验使用了新生兔和成年兔的血浆,以及来自4个来源的人血浆:a)健康成年人;b)脐带血;c)出生5天的新生儿;d)6个月大的婴儿。由于方法学原因,在我们研究的第一部分中,我们选择了:两种磺胺类药物——磺胺二甲嘧啶和磺胺甲恶唑、氯丙嗪和水杨酸钠。实验中使用了两种不同的技术:1)平衡透析;2)超滤。根据在动物和人类身上获得的结果,发现新生儿药物与血浆蛋白的结合程度与成年人不同,根据所使用的药物,可能更高或更低。了解这一事实非常重要,在计算新生儿和婴儿各种药物的合适剂量时应予以考虑。

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