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氯胺酮对清醒家兔全身及局部血流动力学影响的研究。

A study on the influence of ketamine on systemic and regional haemodynamics in conscious rabbits.

作者信息

Dhasmana K M, Saxena P R, Prakash O, Van der Zee H T

出版信息

Arch Int Pharmacodyn Ther. 1984 Jun;269(2):323-34.

PMID:6433825
Abstract

Effects of ketamine hydrochloride (2, 6 and 18 mg X kg-1, i.v.) were investigated on systemic and regional haemodynamics using a radioactive microsphere method in conscious rabbits. Ketamine decreased respiratory frequency in a dose-dependent manner for up to 5 min. A significant fall in the mean arterial blood pressure (with the two highest doses), together with a short lasting tachycardia, was observed with ketamine. The cardiac output and blood flow to many tissues were not changed by this anaesthetic agent. However, increased blood flow was noticed in discrete regions of the brain (cerebral hemispheres) and heart (left ventricular endocardium). Vasodilation in the cerebral hemispheres with this agent producing dissociative anaesthesia is in contrast to the generally observed decrease in cerebral blood flow with other anaesthetic agents.

摘要

采用放射性微球法,在清醒家兔身上研究了盐酸氯胺酮(静脉注射,剂量分别为2、6和18mg/kg)对全身和局部血流动力学的影响。氯胺酮以剂量依赖的方式降低呼吸频率,持续长达5分钟。观察到氯胺酮导致平均动脉血压显著下降(两个最高剂量组),同时伴有短暂的心动过速。该麻醉剂未改变心输出量和许多组织的血流量。然而,在大脑(大脑半球)和心脏(左心室心内膜)的离散区域发现血流量增加。该产生分离麻醉的药物导致大脑半球血管舒张,这与其他麻醉剂通常观察到的脑血流量减少形成对比。

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