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破伤风患者的左心室功能:治疗的影响

Left ventricular function in tetanus: influence of therapy.

作者信息

Desjars P, Pinaud M, Baron D, Rodineau P, Nicolas R

出版信息

Intensive Care Med. 1978 Jul;4(3):123-5. doi: 10.1007/BF01700252.

DOI:10.1007/BF01700252
PMID:690320
Abstract

Nine patients hospitalized for tetanus were studied under the same protocol which included two haemodynamic studies with a preload trial (PLT). The first being made during therapy (diazepam barbiturate association), on the sixth day of hospitalisation, and the second one after recovery. The comparison of the results shows that before PLT the mean arterial pressuure (MAP) is significantly increased (p less than 0.05) in patients after recovery in comparison to the same patients undergoing therapy. After PLT there is no significant difference between the two groups. Lastly, the variation of the left ventricular function points under PLT shows no significant difference between patients during therapy and after recovery. These results suggest that the diazepamphenobarbital combination does not alter the left ventricular function of the patients undergoing this therapy during tetanus.

摘要

对9名因破伤风住院的患者按照相同方案进行了研究,该方案包括两项带有预负荷试验(PLT)的血流动力学研究。第一次研究在治疗期间(地西泮与巴比妥类药物联合使用)、住院第6天时进行,第二次在康复后进行。结果比较显示,与接受治疗的同一批患者相比,康复后的患者在PLT前平均动脉压(MAP)显著升高(p<0.05)。PLT后两组之间无显著差异。最后,PLT下左心室功能点的变化显示治疗期间和康复后的患者之间无显著差异。这些结果表明,地西泮-苯巴比妥联合用药不会改变破伤风患者在接受该治疗期间的左心室功能。

相似文献

1
Left ventricular function in tetanus: influence of therapy.破伤风患者的左心室功能:治疗的影响
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Haemodynamic changes during experimental tetanus toxicity in dogs.
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[Combined treatment of tetanus with diazepam and inderal].地西泮与心得安联合治疗破伤风
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引用本文的文献

1
Current topics in tetanus.
Intensive Care Med. 1979 Sep;5(3):105-10. doi: 10.1007/BF01683190.

本文引用的文献

1
[The treatment of tetanus at the Centre de Reanimation Neuro-respiratoire of the Hopital Claude-Bernard. (Information from 210 cases)].[克劳德 - 伯纳德医院神经呼吸复苏中心的破伤风治疗。(来自210例病例的信息)]
Presse Med (1893). 1960 Feb 6;68:217-20.
2
Effects of barbiturates on pulmonary and systemic haemodynamics.巴比妥类药物对肺循环和体循环血流动力学的影响。
Cardiovasc Res. 1968 Apr;2(2):136-42. doi: 10.1093/cvr/2.2.136.
3
[Cardiac involvement in tetanus].
Anaesthesist. 1970 Mar;19(3):109-12.
4
Effects of blood volume expansion on left ventricular hemodynamics in man.血容量扩充对人体左心室血流动力学的影响。
Circulation. 1972 Oct;46(4):780-7. doi: 10.1161/01.cir.46.4.780.
5
Hypotension in tetanus.破伤风所致低血压
Br Med J. 1973 Aug 25;3(5877):423-8. doi: 10.1136/bmj.3.5877.423.
6
Autonomic complications in a case of severe tetanus.一例严重破伤风患者的自主神经并发症
Am J Med. 1974 Aug;57(2):303-10. doi: 10.1016/0002-9343(74)90455-0.
7
The use of diazepam in the treatment of tetanus.地西泮在破伤风治疗中的应用。
Am J Med Sci. 1973 Jul;266(1):4-12. doi: 10.1097/00000441-197307000-00001.
8
Systemic and coronary hemodynamic effects of diazepam in patients with normal and diseased coronary arteries.地西泮对冠状动脉正常及病变患者的全身和冠状动脉血流动力学影响。
Circulation. 1974 Dec;50(6):1210-6. doi: 10.1161/01.cir.50.6.1210.
9
Mechanisms of contraction of the normal and failing heart.
N Engl J Med. 1967 Oct 12;277(15):794-800 contd. doi: 10.1056/NEJM196710122771505.
10
Involvement of the sympathetic nervous system in tetanus. Studies on 82 cases.破伤风患者交感神经系统的受累情况。对82例患者的研究。
Lancet. 1968 Aug 3;2(7562):236-41. doi: 10.1016/s0140-6736(68)92350-7.