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吸入麻醉技术下交感肾上腺系统和肾上腺皮质系统活性的比较。

A comparison of the activity of the sympathoadrenal and adrenocortical system under inhalation anesthesia techniques.

作者信息

Abdulla Y W, Giesecke A H, Hein H A, Cordes U

出版信息

Acta Anaesthesiol Belg. 1983 Dec;34(4):257-64.

PMID:6324524
Abstract

Epinephrine, norepinephrine, ACTH and cortisol plasma levels as well as heart rate and blood pressure were studied in 32 patients undergoing ophthalmic surgery. Epinephrine levels rose significantly during nitrous oxide anesthesia and also during enflurane-nitrous oxide anesthesia, whereas they fell slightly during halothane-nitrous oxide anesthesia. Norepinephrine levels remained unchanged. ACTH and cortisol levels increased during all three types of anesthesia. During nitrous oxide and enflurane-nitrous oxide anesthesia, heart rate and blood pressure were elevated, halothane nitrous oxide anesthesia was associated with an increased heart rate but not with increased blood pressure.

摘要

对32例接受眼科手术的患者的肾上腺素、去甲肾上腺素、促肾上腺皮质激素和皮质醇血浆水平以及心率和血压进行了研究。在一氧化二氮麻醉期间以及安氟醚-一氧化二氮麻醉期间,肾上腺素水平显著升高,而在氟烷-一氧化二氮麻醉期间略有下降。去甲肾上腺素水平保持不变。在所有三种麻醉类型中,促肾上腺皮质激素和皮质醇水平均升高。在一氧化二氮和安氟醚-一氧化二氮麻醉期间,心率和血压升高,氟烷-一氧化二氮麻醉与心率增加有关,但与血压升高无关。

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1
A comparison of the activity of the sympathoadrenal and adrenocortical system under inhalation anesthesia techniques.吸入麻醉技术下交感肾上腺系统和肾上腺皮质系统活性的比较。
Acta Anaesthesiol Belg. 1983 Dec;34(4):257-64.
2
[The effect of enflurane anaesthesia and operation on the sympathoadrenal and adrenocortical system (author's transl)].恩氟烷麻醉及手术对交感肾上腺和肾上腺皮质系统的影响(作者译)
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Anasth Intensivther Notfallmed. 1985 Jun;20(3):119-24.
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[Plasma catecholamine levels during air-oxygen-enflurane anesthesia compared with those during nitrous oxide-oxygen-enflurane anesthesia].[空气-氧气-安氟醚麻醉与氧化亚氮-氧气-安氟醚麻醉期间血浆儿茶酚胺水平的比较]
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Inhibition by vecuronium of carbachol-induced influx of 22Na+, 45Ca2+ and secretion of catecholamines in cultured bovine adrenal medullary cells.维库溴铵对卡巴胆碱诱导的培养牛肾上腺髓质细胞内22Na+、45Ca2+内流及儿茶酚胺分泌的抑制作用。
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