Vielhauer E, Schulze B, Trunk P
Arzneimittelforschung. 1977 Jul;27(7):1469-71.
Clinical symptoms of side effects by iodinated opaque media are approximately similar to those caused by inhibition of acetylcholinesterase. The inhibition of acetylcholinesterase of human erythrocytes was tested with the following opaque media in vivo and in vitro: adipiodonmeglumine, meglumine-iothalamate and sodium-iothalamate. Apparently there is no connection between opaque media induced incompatibility and the inhibition of acetylcholinesterase because 1. by the time maximal inhibition is reached most of the renally excreted opaque media has been eliminated, and because 2. a fairly rapid reversibility of the inhibition follows. For patients with congenital variants of acetylcholinesterase it could be of clinical consequence under succinyldicholinanaesthesia.
碘化造影剂引起的副作用临床症状与乙酰胆碱酯酶受抑制所引起的症状大致相似。在体内和体外,用下列造影剂测试了人红细胞乙酰胆碱酯酶的抑制情况:碘吡多葡胺、碘他拉葡胺和碘他拉酸钠。显然,造影剂引起的不相容性与乙酰胆碱酯酶的抑制之间没有联系,原因如下:1. 当达到最大抑制时,大部分经肾脏排泄的造影剂已被清除;2. 抑制作用具有相当快的可逆性。对于患有乙酰胆碱酯酶先天性变异的患者,在琥珀酰胆碱麻醉下可能具有临床意义。