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口服活性炭对茶碱清除率的提高作用。

Enhancement of theophylline clearance by oral activated charcoal.

作者信息

Berlinger W G, Spector R, Goldberg M J, Johnson G F, Quee C K, Berg M J

出版信息

Clin Pharmacol Ther. 1983 Mar;33(3):351-4. doi: 10.1038/clpt.1983.44.

DOI:10.1038/clpt.1983.44
PMID:6337763
Abstract

A randomized crossover trial of the effect of oral activated charcoal on the kinetics of intravenous theophylline was carried out in six normal male subjects. After intravenous aminophylline (6 mg/kg), subjects received water or water with activated charcoal (140 gm) in divided doses over 12 hr. Serum theophylline concentrations were measured from 0 to 24 hr after the aminophylline infusion. Treatment with activated charcoal decreased the serum t 1/2 from 6.4 +/- 1.2 to 3.3 +/- 0.4 (SEM) hr and the serum AUC from 78 +/- 14 to 42 +/- 4 mg . hr/l. Percent decrease in AUC after treatment with charcoal correlated positively with the endogenous theophylline serum t 1/2 (r = 0.94). These results suggest that oral activated charcoal (1) enhanced the total body clearance of theophylline and (2) may be efficacious in the treatment of theophylline poisoning, especially in patients with prolonged serum t 1/2s of theophylline.

摘要

在6名正常男性受试者中进行了一项关于口服活性炭对静脉注射茶碱动力学影响的随机交叉试验。静脉注射氨茶碱(6毫克/千克)后,受试者在12小时内分剂量服用水或含活性炭(140克)的水。在氨茶碱输注后0至24小时测量血清茶碱浓度。活性炭治疗使血清t1/2从6.4±1.2小时降至3.3±0.4(标准误)小时,血清AUC从78±14降至42±4毫克·小时/升。活性炭治疗后AUC的降低百分比与内源性茶碱血清t1/2呈正相关(r = 0.94)。这些结果表明,口服活性炭(1)提高了茶碱的全身清除率,(2)可能对茶碱中毒治疗有效,尤其是在茶碱血清t1/2延长的患者中。

相似文献

1
Enhancement of theophylline clearance by oral activated charcoal.口服活性炭对茶碱清除率的提高作用。
Clin Pharmacol Ther. 1983 Mar;33(3):351-4. doi: 10.1038/clpt.1983.44.
2
Model for theophylline overdose treatment with oral activated charcoal.
Clin Pharmacol Ther. 1984 Mar;35(3):402-8. doi: 10.1038/clpt.1984.50.
3
Effects of size and frequency of oral doses of charcoal on theophylline clearance.口服活性炭剂量大小及给药频率对茶碱清除率的影响。
Clin Pharmacol Ther. 1983 Nov;34(5):663-6. doi: 10.1038/clpt.1983.229.
4
Effect of the surface area of activated charcoal on theophylline clearance.活性炭表面积对茶碱清除率的影响。
J Clin Pharmacol. 1984 Jul;24(7):289-92. doi: 10.1002/j.1552-4604.1984.tb01835.x.
5
Comparative pharmacokinetics of theophylline and aminophylline in man.茶碱和氨茶碱在人体中的比较药代动力学
Br J Clin Pharmacol. 1981 Mar;11(3):269-73. doi: 10.1111/j.1365-2125.1981.tb00533.x.
6
The effect of sorbitol and activated charcoal on serum theophylline concentrations after slow-release theophylline.山梨醇和活性炭对缓释型茶碱给药后血清茶碱浓度的影响。
Clin Pharmacol Ther. 1987 Jan;41(1):108-11. doi: 10.1038/clpt.1987.18.
7
Kinetics of intravenous theophylline.静脉注射茶碱的动力学
Clin Pharmacol Ther. 1977 Aug;22(2):188-95. doi: 10.1002/cpt1977222188.
8
Increased serum theophylline clearance with orally administered activated charcoal.口服活性炭可提高血清茶碱清除率。
Am Rev Respir Dis. 1983 Nov;128(5):820-2. doi: 10.1164/arrd.1983.128.5.820.
9
Multiple dose activated charcoal for theophylline poisoning in young infants.多次剂量活性炭用于治疗幼儿茶碱中毒
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10
Acceleration of digoxin clearance by activated charcoal.活性炭加速地高辛清除率
Clin Pharmacol Ther. 1985 Apr;37(4):367-71. doi: 10.1038/clpt.1985.55.

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Intermittent haemodialysis and sustained low-efficiency dialysis (SLED) for acute theophylline toxicity.间歇性血液透析和持续性低效透析(SLED)治疗急性茶碱中毒
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EXS. 2010;100:397-460. doi: 10.1007/978-3-7643-8338-1_12.
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Emergency medicine: the use of activated charcoal in cases of poisoning and drug overdose.急诊医学:活性炭在中毒和药物过量病例中的应用。
West J Med. 1985 Mar;142(3):385-6.
7
Clinical toxicology.临床毒理学
Postgrad Med J. 1993 Jan;69(807):19-32. doi: 10.1136/pgmj.69.807.19.
8
Controlled release drugs in overdose. Clinical considerations.过量服用的控释药物。临床考量。
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9
Use of beta-blockade and hemoperfusion for acute theophylline poisoning.使用β受体阻滞剂和血液灌流治疗急性茶碱中毒。
West J Med. 1984 Oct;141(4):485-90.
10
Treatment of salicylate poisoning with repeated oral charcoal.反复口服活性炭治疗水杨酸盐中毒。
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