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1
Effects of chlorpromazine in patients with hepatic disease.氯丙嗪对肝病患者的影响。
Br Med J. 1969 Aug 30;3(5669):497-9. doi: 10.1136/bmj.3.5669.497.
2
Medium chain triglycerides and hepatic encephalopathy.中链甘油三酯与肝性脑病
Gut. 1974 Mar;15(3):180-4. doi: 10.1136/gut.15.3.180.
3
[Relation of blood ammonia, the electroencephalogram and the state of consciousness in hepatic cirrhosis].[肝硬化患者血氨、脑电图与意识状态的关系]
Osp Maggiore. 1962 May;50:199-203.
4
Plasma disappearance and cerebral effects of chlorpromazine in cirrhosis.肝硬化患者中氯丙嗪的血浆清除率及对脑部的影响
Clin Sci. 1972 Aug;43(2):143-51. doi: 10.1042/cs0430143.
5
Portosystemic hepatic encephalopathy after transjugular intrahepatic portosystemic shunt in patients with cirrhosis: clinical, laboratory, psychometric, and electroencephalographic investigations.肝硬化患者经颈静脉肝内门体分流术后的门体性肝性脑病:临床、实验室、心理测量及脑电图检查
Hepatology. 1998 Nov;28(5):1215-25. doi: 10.1002/hep.510280508.
6
[Hepatic lesions caused by chlorpromazine and promazine].[氯丙嗪和丙嗪引起的肝脏病变]
Farmaco Sci. 1957;12(3):182-7.
7
Subclinical hepatic encephalopathy: detection, prevalence, and relationship to nitrogen metabolism.
Gastroenterology. 1978 Sep;75(3):462-9.
8
Effects of chlorpromazine hydrochloride and its metabolites on Mg2+- and Na+,K+-ATPase activities of canalicular-enriched rat liver plasma membranes.盐酸氯丙嗪及其代谢产物对富含胆小管的大鼠肝细胞膜中Mg2+ - 和Na+,K+ - ATP酶活性的影响。
Gastroenterology. 1978 Jun;74(6):1183-90.
9
[Blood ammonium, glutamine in the cerebrospinal fluid, the electroencephalogram and the neurological examination in relation to states of consciousness in hepatic patients].[肝性脑病患者血氨、脑脊液谷氨酰胺、脑电图及神经学检查与意识状态的关系]
Rev Med Chil. 1961 Oct;89:767-71.
10
Amino acid challenge in patients with cirrhosis and control subjects: ammonia, plasma amino acid and EEG changes.肝硬化患者和对照受试者的氨基酸激发试验:氨、血浆氨基酸及脑电图变化
Metab Brain Dis. 2006 Mar;21(1):1-10. doi: 10.1007/s11011-006-9006-5. Epub 2006 May 4.

引用本文的文献

1
Pharmacokinetic changes of psychotropic drugs in patients with liver disease: implications for dose adaptation.肝病患者精神药物的药代动力学变化:剂量调整的意义。
Drug Saf. 2009;32(7):561-78. doi: 10.2165/00002018-200932070-00003.
2
Treatment of hepatic encephalopathy with metronidazole.甲硝唑治疗肝性脑病
Gut. 1982 Jan;23(1):1-7. doi: 10.1136/gut.23.1.1.
3
Plasma concentrations and central nervous system effects of the new hypnotic agent zopiclone in patients with chronic liver disease.新型催眠药佐匹克隆在慢性肝病患者中的血浆浓度及对中枢神经系统的影响。
Br J Clin Pharmacol. 1983 Sep;16(3):259-65. doi: 10.1111/j.1365-2125.1983.tb02159.x.
4
Treatment of fulminant hepatic failure. Clinical syndrome and basis of therapy.暴发性肝衰竭的治疗。临床综合征及治疗基础。
Br Med J. 1971 Jan 23;1(5742):213-5. doi: 10.1136/bmj.1.5742.213.
5
Clinical and electroencephalographic assessment of diazepam in liver disease.地西泮在肝脏疾病中的临床及脑电图评估
Br Med J. 1971 Oct 30;4(5782):265-6. doi: 10.1136/bmj.4.5782.265.
6
Medium chain triglycerides and hepatic encephalopathy.中链甘油三酯与肝性脑病
Gut. 1974 Mar;15(3):180-4. doi: 10.1136/gut.15.3.180.
7
Antidepressants and liver disease.抗抑郁药与肝脏疾病
Gut. 1972 Sep;13(9):697-701. doi: 10.1136/gut.13.9.697.
8
Pharmacokinetics and pharmacodynamics of intravenous midazolam in patients with severe alcoholic cirrhosis.重度酒精性肝硬化患者静脉注射咪达唑仑的药代动力学和药效学
Gut. 1986 Feb;27(2):190-5. doi: 10.1136/gut.27.2.190.
9
Clinical pharmacokinetics of the depot antipsychotics.长效抗精神病药物的临床药代动力学
Clin Pharmacokinet. 1985 Jul-Aug;10(4):315-33. doi: 10.2165/00003088-198510040-00003.
10
Intravenous administration of diazepam in patients with chronic liver disease.慢性肝病患者静脉注射地西泮
Gut. 1976 Dec;17(12):975-83. doi: 10.1136/gut.17.12.975.

本文引用的文献

1
Neuropsychiatric complications following chlorothiazide therapy in patients with hepatic cirrhosis: possible relation to hypokalaemia.肝硬化患者接受氯噻嗪治疗后的神经精神并发症:可能与低钾血症有关。
Clin Sci. 1959 Aug;18:409-23.
2
Morphine tolerance in hepatic cirrhosis.肝硬化中的吗啡耐受性。
Gastroenterology. 1961 Mar;40:389-96.
3
Neuropsychiatric complications of portacaval anastomosis.门腔静脉吻合术的神经精神并发症。
Lancet. 1961 May 6;1(7184):961-3. doi: 10.1016/s0140-6736(61)91880-3.
4
Treatment of the acute alcohol-withdrawal syndrome.急性酒精戒断综合征的治疗
Q J Stud Alcohol. 1958 Mar;19(1):118-24.
5
Delirium tremens; reduction of mortality and morbidity with promazine.震颤谵妄;用丙嗪降低死亡率和发病率。
J Am Med Assoc. 1958 Feb 15;166(7):747-50. doi: 10.1001/jama.1958.02990070033008.
6
Observations of liver function in chlorpromazine-treated alcoholic patients.对接受氯丙嗪治疗的酒精性肝病患者的肝功能观察。
N Engl J Med. 1957 May 16;256(20):932-4. doi: 10.1056/NEJM195705162562004.
7
The measurement of ammonia in whole blood, erythrocytes, and plasma.全血、红细胞和血浆中氨的测定。
J Lab Clin Med. 1957 Jun;49(6):962-74.
8
The colorimetric estimation of 3-chlorpromazine in biological fluids.生物流体中3-氯丙嗪的比色测定法。
J Clin Pathol. 1956 May;9(2):164-5. doi: 10.1136/jcp.9.2.164.

氯丙嗪对肝病患者的影响。

Effects of chlorpromazine in patients with hepatic disease.

作者信息

Read A E, Laidlaw J, McCarthy C F

出版信息

Br Med J. 1969 Aug 30;3(5669):497-9. doi: 10.1136/bmj.3.5669.497.

DOI:10.1136/bmj.3.5669.497
PMID:5801345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1984315/
Abstract

Patients with cirrhosis were found to be extremely sensitive to chlorpromazine as shown by slowing of the electroencephalograph (E.E.G.), which was particularly definite in those who had had hepatic encephalopathy previously. Patients showing the most definite E.E.G. changes were in general very sleepy and took some hours to recover after taking chlorpromazine. It is concluded that phenothiazine drugs should be used very cautiously in patients with alcoholic liver disease.

摘要

肝硬化患者被发现对氯丙嗪极为敏感,脑电图(E.E.G.)减慢表明了这一点,这在既往有肝性脑病的患者中尤为明显。脑电图变化最明显的患者通常非常嗜睡,服用氯丙嗪后需要数小时才能恢复。结论是,在酒精性肝病患者中应非常谨慎地使用吩噻嗪类药物。