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[肝硬化患者中强心苷美普罗西拉林的血浆浓度及消除行为]

[Plasma concentration and elimination behavior of the cardiac glycoside meproscillarin in patients with liver cirrhosis].

作者信息

Burkert K, Beckmann H

出版信息

Z Gastroenterol. 1983 Jan;21(1):34-40.

PMID:6845784
Abstract

During a one week period patients with liver cirrhosis and a control group were treated with a repeated dosage of the new heart glcoside Meproscillarin. After achieving a steady state in plasma level the same Meproscillarin plasma levels were found among both groups. Compared with the control group no difference was detected in the elimination rate of Meproscillarin in patients with liver cirrhosis, which means a complex disturbed liver function. Nevertheless the greater variance of the Meproscillarin plasma levels in the patients with liver cirrhosis in comparison with the controls means a diminished predictability of the therapeutic success in the cirrhosis group. With this limitation Meproscillarin can be used therapeutically in patients with liver cirrhosis, because a toxic accumulation is not to be expected.

摘要

在为期一周的时间里,肝硬化患者和对照组接受了重复剂量的新型心脏糖苷甲丙氨酯的治疗。在血浆水平达到稳态后,两组的甲丙氨酯血浆水平相同。与对照组相比,肝硬化患者中甲丙氨酯的消除率没有差异,这意味着肝功能存在复杂紊乱。然而,与对照组相比,肝硬化患者中甲丙氨酯血浆水平的较大差异意味着肝硬化组治疗成功的可预测性降低。尽管有此局限性,但由于预计不会出现毒性蓄积,甲丙氨酯仍可用于肝硬化患者的治疗。

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