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苯海拉明对有机磷酸酯诱导的神经肌肉阻滞的纠正作用。

Correction of organophosphate-induced neuromuscular blockade by diphenhydramine.

作者信息

Clemmons R M, Meyer D J, Sundlof S F, Rappaport J J, Fossler M E, Hubbell J, Dorsey-Lee M R

出版信息

Am J Vet Res. 1984 Oct;45(10):2167-9.

PMID:6497117
Abstract

Dogs exposed to topical organophosphate (fenthion) developed decreased plasma and muscle cholinesterase activities. After 2 doses were applied (1 week between doses), plasma concentrations declined 80% and muscle cholinesterase activity was reduced by 56%. Decremental responses to repetitive nerve stimulation developed after fenthion administration. Diphenhydramine, but not placebo, corrected the electrical abnormalities caused by organophosphate application, but without altering plasma or muscle cholinesterase activity. Control dogs housed in the same kennel demonstrated a slight decrease (18%) of plasma cholinesterase, which indicates that there may be potential cross contamination. Diphenydramine may be effective in treating organophosphate-induced neuromuscular weakness which is refractory to other forms of therapy.

摘要

接触局部用有机磷酸酯(倍硫磷)的犬只血浆和肌肉胆碱酯酶活性降低。给予两剂药物(两剂之间间隔1周)后,血浆浓度下降80%,肌肉胆碱酯酶活性降低56%。倍硫磷给药后出现对重复神经刺激的递减反应。苯海拉明而非安慰剂纠正了有机磷酸酯应用所致的电异常,但未改变血浆或肌肉胆碱酯酶活性。饲养在同一犬舍的对照犬只血浆胆碱酯酶略有下降(18%),这表明可能存在潜在的交叉污染。苯海拉明可能有效治疗对其他治疗形式无效的有机磷酸酯诱导的神经肌肉无力。

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First meta-analysis study of cholinesterase inhibition in experimental animals by organophosphate or carbamate insecticides under the influence of diphenhydramine.在苯海拉明影响下,有机磷酸酯或氨基甲酸酯类杀虫剂对实验动物胆碱酯酶抑制作用的首次荟萃分析研究。
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Comparative pharmacology and toxicology of pharmaceuticals in the environment: diphenhydramine protection of diazinon toxicity in Danio rerio but not Daphnia magna.环境中药物的比较药理学与毒理学:苯海拉明对斑马鱼中敌敌畏毒性有保护作用,但对大型溞没有。
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